Organization
BRAZILE AND MOOREHEAD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANIA MOOREHEAD DDS (OWNER)
(704) 968-6558
Entity
Organization
Contact information
Practice address
8700 PINEVILLE MATTHEWS RD STE 920, CHARLOTTE, NC 28226-4748
(704) 968-6558
Mailing address
763 PROSPECT LN, FORT MILL, SC 29708-8164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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