Organization
MYPS LLC
Active
Other names
MY Dentists Latrobe
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH MIDDLETON (OFFICE MANAGER)
(704) 365-0006
Entity
Organization
Contact information
Practice address
3749 LATROBE DR, CHARLOTTE, NC 28211-1164
(704) 365-0006
(704) 365-0007
Mailing address
3749 LATROBE DR, CHARLOTTE, NC 28211-1164
(704) 365-0006
(704) 365-0007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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