Provider Demographics
NPI:1407211550
Name:DEBORAH ATEN DDS & ANTHONY GAROFALO DDS PLLC
Entity Type:Organization
Organization Name:DEBORAH ATEN DDS & ANTHONY GAROFALO DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:GAROFALO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-540-4252
Mailing Address - Street 1:3420 TORINGDON WAY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2438
Mailing Address - Country:US
Mailing Address - Phone:704-540-4252
Mailing Address - Fax:704-540-4286
Practice Address - Street 1:3420 TORINGDON WAY
Practice Address - Street 2:SUITE 310
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2438
Practice Address - Country:US
Practice Address - Phone:704-540-4252
Practice Address - Fax:704-540-4286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8891122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty