Organization
COLEMAN AND DASTRUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA LEIGHT ST-CYR (PATIENT COORDINATOR)
(704) 896-5850
Entity
Organization
Contact information
Practice address
460 S MAIN ST STE 101, DAVIDSON, NC 28036-8006
(704) 896-5850
Mailing address
PO BOX 4297, DAVIDSON, NC 28036-4297
(704) 896-5850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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