Individual
AVANA L STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1108 E DIXON BLVD, SHELBY, NC 28152-6840
(704) 284-5174
Mailing address
400 E BROOKLYN VILLAGE AVE UNIT 1506, CHARLOTTE, NC 28202-3632
(404) 558-9191
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
—
AL
1223G0001X
General Practice Dentistry
Primary
13954
NC
Other
Enumeration date
06/01/2023
Last updated
08/19/2024
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