Individual
DR. AUSTIN MOGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
209 AQUADALE RD, OAKBORO, NC 28129-9045
(704) 485-2400
Mailing address
209 AQUADALE RD, OAKBORO, NC 28129-9045
(704) 485-2400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11995
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2020
Last updated
07/31/2020
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