SOUTH PARK ORAL SURGERY

CHARLOTTE, NC
NPI1003502519
Entity TypeOrganization
Authorized ContactKEVIN P BOND
Dentist/Owner
704-366-8707
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
Enumeration Date2023-04-17
Last Update Date2023-04-17
Business Address
SOUTH PARK ORAL SURGERY
2719 COLTSGATE RD
CHARLOTTE, NC 28211-3502
Phone number: 704-366-8707
Mailing Address
SOUTH PARK ORAL SURGERY
2719 COLTSGATE RD
CHARLOTTE, NC 28211-3502
Phone number: 704-366-8707