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Organization

BOSSOLINA DDS PLLC

Active
Other names
Center City Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL JOSEPH BOSSOLINA JR. DDS (OWNER)
(248) 979-4323
Entity
Organization

Contact information

Practice address
400 SOUTH TRYON STREET, SUITE M-4, CHARLOTTE, NC 28202
(704) 376-5950
Mailing address
400 SOUTH TRYON STREET, SUITE M-4, CHARLOTTE, NC 28202
(704) 376-5950

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10133
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013205368
PERSONAL, NOT BUSINESS NPI
Enumeration date
03/30/2018
Last updated
02/08/2019
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