Organization
THOME & YOUNG DDS PLLC III
Active
Other names
Young and Polite Childrens Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
3010 BAUCOM RD STE 100, CHARLOTTE, NC 28269-6767
(704) 587-7336
Mailing address
3010 BAUCOM RD STE 100, CHARLOTTE, NC 28269-6767
(704) 587-7336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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