Organization
CHOPRA & TADRISSI PLLC
Active
Other names
Ballantyne Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK TADRISSI D.D.S. (OWNER)
(704) 541-7017
Entity
Organization
Contact information
Practice address
14135 BALLANTYNE CORPORATE PL, #215, CHARLOTTE, NC 28277-3383
(704) 541-7017
Mailing address
14135 BALLANTYNE CORPORATE PL, #215, CHARLOTTE, NC 28277-3383
(704) 541-7017
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
8485
NC
1223E0200X
Endodontics
Primary
9377
NC
Other
Enumeration date
02/07/2016
Last updated
02/07/2016
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