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Organization

DAVID E THOME DDS PLLC V

Active
Other names
Cabarrus Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
LUCENDA HARRIS (CREDENTIALING & CONTRACTING COORDIN)
(980) 729-5200
Entity
Organization

Contact information

Practice address
2301 S CANNON BLVD, KANNAPOLIS, NC 28083-6907
(704) 604-0353
Mailing address
PO BOX 530172, ATLANTA, GA 30353-0172
(980) 729-5200

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9277
NC

Other

Enumeration date
09/09/2016
Last updated
06/16/2021
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