Organization
DEREK J EATON DDS PLLC
Active
Other names
Carolina Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK JAMES EATON D.D.S. (OWNER)
(704) 865-0081
Entity
Organization
Contact information
Practice address
660 SUMMIT CROSSING PL, SUITE 303, GASTONIA, NC 28054-2104
(704) 865-0081
(704) 865-6004
Mailing address
660 SUMMIT CROSSING PL, SUITE 303, GASTONIA, NC 28054-2104
(704) 865-0081
(704) 865-6004
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
9225
NC
Other
Enumeration date
11/08/2011
Last updated
08/28/2012
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