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Organization

DAVID E THOME DDS PLLC I

Active
Other names
Statesville Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
LUCENDA HARRIS (CREDENTIALING AND CONTRACTING COORD)
(980) 729-5200
Entity
Organization

Contact information

Practice address
1454 FERN CREEK DRIVE, STATESVILLE, NC 28625
(980) 223-2607
Mailing address
1454 FERN CREEK DRIVE, STATESVILLE, NC 28625
(980) 223-2607

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
07/29/2022
Last updated
07/29/2022
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