Organization
HENDERSONVILLE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER ROBINSON ROWE (OFFICE MANAGER, DENTAL ASSISTANT)
(828) 659-7323
Entity
Organization
Contact information
Practice address
689 BLYTHE STREET CT, SUITE B, HENDERSONVILLE, NC 28739-4098
(828) 696-2227
Mailing address
689 BLYTHE STREET CT, SUITE B, HENDERSONVILLE, NC 28739-4098
(828) 696-2227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7460
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900625
—
NC
Enumeration date
10/07/2011
Last updated
10/07/2011
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