Organization
GHARAVIZADEH PC 2
Active
Other names
District Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEYMAN GHARAVIZADEH DDS (OWNER)
(704) 345-5390
Entity
Organization
Contact information
Practice address
328 W CARSON BLVD STE 100, CHARLOTTE, NC 28203-4072
(704) 910-5006
Mailing address
501 HOLLIS RD, CHARLOTTE, NC 28209-1942
(704) 345-5390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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