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New Hanover County Valid NPI

Organization · Dentist · Wilmington, NC

NPI
1164720447
Type
Organization (Type 2)
Primary specialty
Dentist
Specialty group
Dental Providers
Taxonomy code
122300000X
License number
260065 (NC)
Enumerated
2011-03-10
Last updated
2011-03-10
Practice location
2029 S 17th St
Wilmington, NC 28401-6600
(910) 798-6500

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