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Organization

WILLIAM R. PLASTER, DDS, PA

Active
Other names
Plaster Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM R. PLASTER DDS (OWNER)
(704) 487-7391
Entity
Organization

Contact information

Practice address
1455 E MARION ST, SUITE F, SHELBY, NC 28150-4985
(704) 487-7391
Mailing address
1455 E MARION ST, SUITE F, SHELBY, NC 28150-4985
(704) 487-7391

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC6712
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
899014P
NC
Enumeration date
03/10/2014
Last updated
03/10/2014
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