Organization
DANIEL D SKOTZKO DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SKOTZKO (PRESIDENT)
(704) 987-8700
Entity
Organization
Contact information
Practice address
20816 N MAIN ST STE 202, CORNELIUS, NC 28031-8468
(704) 987-8700
Mailing address
20816 N MAIN ST STE 202, CORNELIUS, NC 28031-8468
(704) 987-8700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
NC6536
NC
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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