North Carolina
Secretary of State
Susan Ann Imposimato, RDH
Dental - Credentialing
License number
8746
Date granted
01/02/2008
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
WAKE FOREST NC
licensingnc.com
ID 19233348
LAST UPDATED 2024-03-29 23:23:12 UTC
LAST UPDATED 2024-03-29 23:23:12 UTC
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