North Carolina
Secretary of State
Shelly Gupta Penumalli
Dental - Credentialing
License number
9038
Date granted
09/15/2010
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
GREENSBORO NC
licensingnc.com
ID 19235604
LAST UPDATED 2024-03-17 16:57:58 UTC
LAST UPDATED 2024-03-17 16:57:58 UTC
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