Individual
DR. MARY KATHERINE HEATH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6219 CARMEL RD, CHARLOTTE, NC 28226
(704) 900-5045
Mailing address
6219 CARMEL RD, CHARLOTTE, NC 28226-8204
(704) 542-3700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8012
NC
Other
Enumeration date
11/01/2006
Last updated
05/21/2018
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