North Carolina
Secretary of State
Joseph R. Bologna
Dental - Credentialing
License number
7828
Date granted
07/01/2004
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
WALLACE NC
licensingnc.com
ID 19235858
LAST UPDATED 2024-04-16 11:54:42 UTC
LAST UPDATED 2024-04-16 11:54:42 UTC
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