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Individual

DR. BROOKS PAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8401 UNIVERSITY EXEC PARK DR STE 118, CHARLOTTE, NC 28262-1360
(704) 547-8555
Mailing address
8401 UNIVERSITY EXECUTIVE PARK DR ST 118, CHARLOTTE, NC 28262
(704) 547-8555

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11129
NC

Other

Enumeration date
07/02/2018
Last updated
04/11/2024
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