Organization
R. HOLT FOUSHEE, DDS, MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT HOLT FOUSHEE DDS, MS (OWNER)
(704) 593-1900
Entity
Organization
Contact information
Practice address
10320 MALLARD CREEK RD, SUITE 140, CHARLOTTE, NC 28262-9756
(704) 593-1900
(704) 593-1806
Mailing address
10320 MALLARD CREEK RD, SUITE 140, CHARLOTTE, NC 28262-9756
(704) 593-1900
(704) 593-1806
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5012
NC
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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