North Carolina
Secretary of State
James William Parham
Dental - Credentialing
License number
7570
Date granted
04/14/2003
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
Winston-Salem NC
licensingnc.com
ID 19232242
LAST UPDATED 2024-04-11 16:55:43 UTC
LAST UPDATED 2024-04-11 16:55:43 UTC
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