Individual
DR. PATRICIA A LONDON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
213 CHURCH ST NE, CONCORD, NC 28025-4763
(704) 782-1012
(704) 782-1368
Mailing address
213 CHURCH ST NE, CONCORD, NC 28025-4763
(704) 782-1012
(704) 782-1368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5057
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997786
—
NC
01
—
97786
BLUE CROSS BLUE SHIELD
NC
Enumeration date
09/01/2005
Last updated
07/08/2007
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