North Carolina
Secretary of State
David D. Shushtari
Dental - Credentialing
License number
9140
Date granted
05/26/2011
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
Charlotte NC
licensingnc.com
ID 19234445
LAST UPDATED 2026-04-22 23:57:36 UTC
LAST UPDATED 2026-04-22 23:57:36 UTC
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