TASHANA DETWILER

CONCORD, NC
NPI1205500147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223D0001X Dentist, Dental Public Health
(Licence: NC  12420)
Enumeration Date2021-08-04
Last Update Date2021-08-04
Business Address
TASHANA DETWILER DMD
280 CONCORD PKWY S STE 110A
CONCORD, NC 28027-2704
Phone number: 704-920-1070
Mailing Address
TASHANA DETWILER DMD
5008 SHADOW PINE DR
CHARLOTTE, NC 28269-5142
Phone number: 704-780-3714