North Carolina
Secretary of State
Sallie L. Fudge, RDH
Dental - Credentialing
License number
7368
Date granted
07/15/2003
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
TIMBERLAKE NC
licensingnc.com
ID 19403220
LAST UPDATED 2024-05-06 18:24:38 UTC
LAST UPDATED 2024-05-06 18:24:38 UTC
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