North Carolina
Secretary of State
Tara Lisa Harrell, RDH
Dental - Credentialing
License number
8088
Date granted
04/24/2006
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
Fuquay Varina NC
licensingnc.com
ID 19407074
LAST UPDATED 2024-05-08 02:08:10 UTC
LAST UPDATED 2024-05-08 02:08:10 UTC
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