Organization
DAVID E THOME DDS PLLC I
Active
Other names
Afton Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LUCENDA HARRIS (CREDENTIALING AND CONTRACTING COOR)
(980) 729-5200
Entity
Organization
Contact information
Practice address
5641 POPLAR TENT RD STE 201, CONCORD, NC 28027-7588
(704) 750-8394
Mailing address
5641 POPLAR TENT RD STE 201, CONCORD, NC 28027-7588
(704) 750-8394
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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