Individual
ASHLEY ALEXANDRA PATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6719 FAIRVIEW RD, CHARLOTTE, NC 28210-3879
(704) 366-2774
Mailing address
6719 FAIRVIEW RD, CHARLOTTE, NC 28210-3879
(704) 366-2774
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12730
NC
Other
Enumeration date
03/06/2019
Last updated
08/25/2022
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