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Organization

SDC KL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATINA R CLOUD (MANAGER)
(704) 968-6791
Entity
Organization

Contact information

Practice address
284 TADPOLE LN, TAYLORSVILLE, NC 28681-8050
(704) 968-6791
Mailing address
284 TADPOLE LN, TAYLORSVILLE, NC 28681-8050

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/09/2021
Last updated
03/09/2021
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