Individual
ROBERT GIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 S SHARON AMITY RD STE B, CHARLOTTE, NC 28211-2848
(704) 365-0384
Mailing address
401 S SHARON AMITY RD STE B, CHARLOTTE, NC 28211-2848
(704) 365-0384
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8290
DC
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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