North Carolina
Secretary of State
Stephanie Bazzell, RDH
Dental - Credentialing
License number
7981
Date granted
07/14/2005
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
MOORESVILLE NC
licensingnc.com
ID 19405309
LAST UPDATED 2024-04-19 17:24:06 UTC
LAST UPDATED 2024-04-19 17:24:06 UTC
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