Organization
PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Other names
Charles W. Connor, Jr., DDS, MS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W CONNOR JR. DDS (DENTIST)
(704) 865-6425
Entity
Organization
Contact information
Practice address
1146 N NEW HOPE RD, GASTONIA, NC 28054-2959
(704) 865-6425
Mailing address
1146 N NEW HOPE RD, GASTONIA, NC 28054-2959
(704) 865-6425
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991768
—
NC
Enumeration date
02/14/2007
Last updated
11/19/2014
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