North Carolina
Secretary of State
Dean Alan Russell, RDH
Dental - Credentialing
License number
9237
Date granted
07/13/2009
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
Hickory NC
licensingnc.com
ID 19403338
LAST UPDATED 2025-01-30 22:07:11 UTC
LAST UPDATED 2025-01-30 22:07:11 UTC
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