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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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