North Carolina
Secretary of State
DonnaRae Ford, RDH
Dental - Credentialing
License number
7429
Date granted
01/22/2004
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
FLEETWOOD NC
licensingnc.com
ID 19402468
LAST UPDATED 2026-04-17 17:23:20 UTC
LAST UPDATED 2026-04-17 17:23:20 UTC
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