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Commwell Health

Dentist, General Practice in Willard, NC. Organization (NPI-2).

NPI number1285083303
StatusActive
Last updated in NPPESJun 9, 2016

Details

NPI
1285083303
Entity type
Organization (NPI-2)
Legal business name
Commwell Health
Organization subpart
No
Enumeration date
Jun 9, 2016
Last updated
Jun 9, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice10333NCYes

Practice location

5531 Eleanor Roosevelt Ln
Willard, NC 28478-6621

Phone 877-935-5255

Mailing address

5531 Eleanor Roosevelt Ln
Willard, NC 28478-6621

Authorized official

Nataleigh Hitt
Dentist
7047405628

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