Organization
ALLIANCE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANA P. VERNON (REGIONAL MANAGER)
(704) 880-2297
Entity
Organization
Contact information
Practice address
1303 PLAZA DR, KINGS MOUNTAIN, NC 28086-2653
(704) 739-7956
Mailing address
747 BRAWLEY SCHOOL RD, MOORESVILLE, NC 28117-9122
(704) 663-3001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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