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Individual

DR. LORETTE POLITE-YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH,DDS

Contact information

Practice address
11010 S TRYON ST STE 101, CHARLOTTE, NC 28273-0107
(704) 587-7336
(704) 587-7579
Mailing address
23003 NORWALK LN, FORT MILL, SC 29707-6301
(803) 548-8377

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7797
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89902YW
NC
Enumeration date
08/31/2006
Last updated
07/30/2012
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