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Individual

DR. KENDALYN LUTZ-CRAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS,PA

Contact information

Practice address
101 LIFE ENRICHMENT BLVD., SHELBY, NC 28150-5368
(704) 482-5119
(704) 669-2710
Mailing address
101 LIFE ENRICHMENT DRIVE, SHELBY, NC 28150-5368
(704) 482-5119
(704) 669-2710

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7628
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89902Y2
NC
Enumeration date
03/14/2008
Last updated
10/26/2009
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