Organization
DAVID E THOME DDS PLLC I
Active
Other names
Mint Hill 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
9055 CRESSWIND BLVD, SUITE 104, CHARLOTTE, NC 28215
(704) 350-2152
Mailing address
9055 CRESSWIND BLVD, SUITE 104, CHARLOTTE, NC 28215
(704) 350-2152
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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