Individual
MIKAYLA BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9920 COULOAK DR STE 100, CHARLOTTE, NC 28216-8923
(704) 392-7676
Mailing address
2124 HEAVNER RD, LINCOLNTON, NC 28092-8552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13734
NC
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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