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Organization

BROOKDALE DENTAL CARE

Active
Other names
Kong Vang DMD,PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KONG VANG DMD (DENTIST)
(704) 597-7772
Entity
Organization

Contact information

Practice address
9621 BROOKDALE DR STE 200, CHARLOTTE, NC 28215-8786
(704) 597-7772
(704) 597-7078
Mailing address
9621 BROOKDALE DR STE 200, CHARLOTTE, NC 28215-8786
(704) 597-7772
(704) 597-7078

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7388
NC

Other

Enumeration date
06/07/2007
Last updated
04/09/2008
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