Organization
CORNELIUS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY B HADLEY (OFFICE MGR)
(704) 655-2292
Entity
Organization
Contact information
Practice address
8301 MAGNOLIA ESTATES DR STE 4, CORNELIUS, NC 28031-8053
(704) 655-2292
Mailing address
21025 CATAWBA AVE STE 102, CORNELIUS, NC 28031-8569
(704) 655-2292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/05/2018
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