BLAKE C KINGSBURY

CHARLOTTE, NC
NPI1831338276
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  8726)
Enumeration Date2009-02-09
Last Update Date2009-02-09
Business Address
-- BLAKE C KINGSBURY DMD
2944 SELWYN AVE
CHARLOTTE, NC 28209-1735
Phone number: 904-710-8011
Mailing Address
-- BLAKE C KINGSBURY DMD
2944 SELWYN AVE
CHARLOTTE, NC 28209-1735
Phone number: 904-710-8011
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