Organization
ROBERT G BOOKHOLT, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GLEN BOOKHOLT DDS (PREIDENT)
(704) 545-3109
Entity
Organization
Contact information
Practice address
11349 BAIN SCHOOL RD, CHARLOTTE, NC 28227-7536
(704) 545-3109
(704) 573-9542
Mailing address
11349 BAIN SCHOOL RD, CHARLOTTE, NC 28227-7536
(704) 545-3109
(704) 573-9542
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3531
NC
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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