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Dr. Shango Shembo Etienne, DDS
General Practice Dentistry in Charlotte, North Carolina
NPI 1770994345

Shango Shembo Etienne is a General Practice Dentistry based in Charlotte, NC and is specialized in General Practice. Shango Shembo Etienne practices in Charlotte, NC and has the professional credentials of DDS. The NPI Number for Shango Shembo Etienne is 1770994345 and holds a License No. 9716 (North Carolina).

The current practice location address for Shango Shembo Etienne is 10400 Mallard Creek Rd Ste 103, Charlotte, NC and can be reached out via phone at 704-503-0202.

Location: 10400 Mallard Creek Rd Ste 103, Charlotte, NC, 28262-5206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770994345
Provider Name
Shango Shembo Etienne
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
10400 Mallard Creek Rd Ste 103, Charlotte, NC, 28262-5206
Phone Number
704-503-0202
Fax Number
Provider Enumeration Date
05/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10400 Mallard Creek Rd Ste 103
City
Charlotte
State
North Carolina
Zip
28262-5206
Phone Number
704-503-0202
Fax Number
person
Provider Business Mailing Address Details
Address
10400 Mallard Creek Rd Ste 103
City
Charlotte
State
North Carolina
Zip
28262-5206
Phone Number
704-503-0202
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9716 (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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