Individual
DR. DANIEL DEREK SKOTZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20816 N. MAIN ST., CORNELIUS, NC 28031-8468
(704) 987-8700
(704) 987-8777
Mailing address
20816 N. MAIN ST., CORNELIUS, NC 28031-8468
(704) 987-8700
(704) 987-8777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
200001346479
NC
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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