Individual
DR. ANTUAN LATRELL HERRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
821 EAST SYCAMORE STREET, LINCOLNTON, NC 28092-3427
(704) 735-3117
(704) 735-1107
Mailing address
210 ALPHA MILL LN APT 110, CHARLOTTE, NC 28206-3312
(704) 414-0461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PENDING
NC
Other
Enumeration date
05/27/2008
Last updated
08/13/2012
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