Organization
DAVID E THOME DDS PLLC XIII
Active
Other names
Hickory Grove Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LUCENDA CINDY HARRIS (CREDENTIALING AND CONTRACTING COORD)
(980) 729-5200
Entity
Organization
Contact information
Practice address
5708 N SHARON AMITY RD STE 5708-A, CHARLOTTE, NC 28215-5082
(704) 350-2153
Mailing address
5708 N SHARON AMITY RD STE 5708-A, CHARLOTTE, NC 28215-5082
(704) 350-2153
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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