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Dr. Elali Alisha Marie Moukwa, DMD
Pediatric Dentist in Mebane, North Carolina
NPI 1760900153

Elali Alisha Marie Moukwa is a Pediatric Dentist based in Mebane, NC and is specialized in Pediatric Dentistry. Elali Alisha Marie Moukwa practices in Mebane, NC and has the professional credentials of DMD. The NPI Number for Elali Alisha Marie Moukwa is 1760900153 and holds a License No. 11525 (North Carolina).

The current practice location address for Elali Alisha Marie Moukwa is 1107 S Fifth St Ste 100, Mebane, NC and can be reached out via phone at 984-290-5016.

Location: 1107 S Fifth St Ste 100, Mebane, NC, 27302-9596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760900153
Provider Name
Elali Alisha Marie Moukwa
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1107 S Fifth St Ste 100, Mebane, NC, 27302-9596
Phone Number
984-290-5016
Fax Number
Provider Enumeration Date
09/06/2017
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
1107 S Fifth St Ste 100
City
Mebane
State
North Carolina
Zip
27302-9596
Phone Number
984-290-5016
Fax Number
person
Provider Business Mailing Address Details
Address
1107 S Fifth St Ste 100
City
Mebane
State
North Carolina
Zip
27302-9596
Phone Number
984-290-5016
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
11525 (North Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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