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1487146361
ETHAN KYLE CAUDELL
SHALLOTTE, NC
NPI
1487146361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NC 11031)
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
Dr. ETHAN KYLE CAUDELL DMD
343 WHITEVILLE RD NW
SHALLOTTE, NC 28470-4507
Phone number: 910-754-6718
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Mailing Address
Dr. ETHAN KYLE CAUDELL DMD
343 WHITEVILLE RD NW
SHALLOTTE, NC 28470-4507
Phone number: 910-754-6718
Copy
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