Individual
LISA ATLAS CANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2700 COLTSGATE RD STE 204, CHARLOTTE, NC 28211-3573
(704) 749-5700
Mailing address
16748 KRISHNA LN, CHARLOTTE, NC 28277-1638
(704) 763-8188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30.024996
OH
1223P0221X
Pediatric Dentistry
Primary
10913
NC
Other
Enumeration date
04/28/2016
Last updated
10/10/2023
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