Individual
CARLOS JOSE BAQUERO NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2331 CROWNPOINT EXECUTIVE DR STE A, CHARLOTTE, NC 28227-7749
(704) 704-4744
(704) 973-0902
Mailing address
2331 CROWNPOINT EXECUTIVE DR STE A, CHARLOTTE, NC 28227-7749
(704) 704-4744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11067
NC
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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