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1780728048
STEPHANIE EARLINE BALLENTINE
CHARLOTTE, NC
NPI
1780728048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 4831)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
Dr. STEPHANIE EARLINE BALLENTINE DDS PA
1315 MATHESON AVE
CHARLOTTE, NC 28205-1670
Phone number: 704-334-6907
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Mailing Address
Dr. STEPHANIE EARLINE BALLENTINE DDS PA
1315 MATHESON AVE
CHARLOTTE, NC 28205-1670
Phone number: 704-334-6907
Copy
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