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Dr. Marvin Ryan Domondon, DMD
General Practice Dentistry in Charlotte, North Carolina
NPI 1154543858

Marvin Ryan Domondon is a General Practice Dentistry based in Charlotte, NC and is specialized in General Practice. Marvin Ryan Domondon practices in Charlotte, NC and has the professional credentials of DMD. The NPI Number for Marvin Ryan Domondon is 1154543858 and holds a License No. 8341 (North Carolina).

The current practice location address for Marvin Ryan Domondon is 201 Providence Rd, Charlotte, NC and can be reached out via phone at 704-376-6470 and via fax at 704-496-2914.

Location: 201 Providence Rd, Charlotte, NC, 28207-1417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154543858
Provider Name
Marvin Ryan Domondon
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
201 Providence Rd, Charlotte, NC, 28207-1417
Phone Number
704-376-6470
Fax Number
704-496-2914
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 Providence Rd
City
Charlotte
State
North Carolina
Zip
28207-1417
Phone Number
704-376-6470
Fax Number
704-496-2914
person
Provider Business Mailing Address Details
Address
201 Providence Rd
City
Charlotte
State
North Carolina
Zip
28207-1417
Phone Number
704-376-6470
Fax Number
704-496-2914
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
8341 (North Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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