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Kristin Main Dds, Pllc
Dental Clinic/Center in Leland, North Carolina
NPI 1609503036

Kristin Main Dds, Pllc is a Dental Clinic/Center based in Leland, NC and is specialized in Dental. Kristin Main Dds, Pllc practices in Leland, NC. The NPI Number for Kristin Main Dds, Pllc is 1609503036 and holds a License No. (North Carolina).

The current practice location address for Kristin Main Dds, Pllc is 110 Village Rd Ne Unit A, Leland, NC and can be reached out via phone at 910-371-0966 and via fax at 910-371-0968.

Location: 110 Village Rd Ne Unit A, Leland, NC, 28451-7412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609503036
Provider Name
Kristin Main Dds, Pllc
Credential
Provider Entity Type
Organization
Address
110 Village Rd Ne Unit A, Leland, NC, 28451-7412
Phone Number
910-371-0966
Fax Number
910-371-0968
Provider Enumeration Date
08/05/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609005859 05 NC
institution
Provider Business Practice Location Address Details
Address
110 Village Rd Ne Unit A
City
Leland
State
North Carolina
Zip
28451-7412
Phone Number
910-371-0966
Fax Number
910-371-0968
person
Provider Business Mailing Address Details
Address
110 Village Rd Ne Unit A
City
Leland
State
North Carolina
Zip
28451-7412
Phone Number
910-371-0966
Fax Number
910-371-0968
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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