Individual
EVANGELO VAGIANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3535 RANDOLPH RD, SUITE 103-R, CHARLOTTE, NC 28211-1032
(704) 365-0123
(704) 364-8640
Mailing address
3535 RANDOLPH RD, SUITE 103-R, CHARLOTTE, NC 28211-1032
(704) 365-0123
(704) 364-8640
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3512
NC
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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