Provider First Line Business Practice Location Address:
1335 ELIZABETH AVE
Provider Second Line Business Practice Location Address:
CPCC DEPARTMENT OF DENTAL HYGIENE
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-330-6483
Provider Business Practice Location Address Fax Number:
704-330-6477
Provider Enumeration Date:
04/10/2007