North Carolina
Secretary of State
Tommy A. Blackwell
Dental - Licensed Dentist
License number
4169
Date granted
07/12/1976
Date expires
03/31/2015
Class
Dental - Licensed Dentist
Status
Good Standing
Address
GREENSBORO NC
licensingnc.com
ID 19312551
LAST UPDATED 2026-03-29 02:28:25 UTC
LAST UPDATED 2026-03-29 02:28:25 UTC
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