Individual
ELIZABETH MARIE ALSTON OTTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 CHURCH ST N, CONCORD, NC 28025-4300
(704) 784-3611
Mailing address
5614 MCCHESNEY DR, CHARLOTTE, NC 28269-7189
(336) 693-5807
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11769
NC
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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