Organization
KEVIN P BOND DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KEOUGH (CREDENTIALING REP)
(405) 848-7974
Entity
Organization
Contact information
Practice address
2701 COLTSGATE RD, CHARLOTTE, NC 28211-3534
(877) 667-7669
(405) 848-0033
Mailing address
3000 UNITED FOUNDERS BLVD, SUITE 237, OKLAHOMA CITY, OK 73112-3958
(405) 848-7974
(405) 848-0033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8315
NC
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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