Kendall Moncla
Dentist, General Practice in Elizabeth City, NC. Individual provider (NPI-1).
NPI number1104512730
StatusActive
Last updated in NPPESJun 28, 2023
Details
- NPI
- 1104512730
- Entity type
- Individual (NPI-1)
- Name
- Kendall Moncla
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2023
- Certification date
- Jun 28, 2023
- Last updated
- Jun 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 13210 | NC | Yes |
Practice location
301 Rhonda RdElizabeth City, NC 27909-7708
Phone 252-339-1273
Mailing address
301 Rhonda RdElizabeth City, NC 27909-7708
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All 22 General Practice Dentistry providers in Elizabeth City · All 1,142 providers in Elizabeth City
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