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Organization
THOMAS W. MONAHAN, IV, DMD, PA
Active
Organization
THOMAS W. MONAHAN, IV, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W. MONAHAN IV DMD (PRESIDENT)
(336) 228-7576
Entity
Organization
Contact information
Practice address
115 ENGLEMAN AVENUE, BURLINGTON, NC 27215-4844
(336) 228-7576
(336) 228-1464
Mailing address
115 ENGLEMAN AVENUE, BURLINGTON, NC 27215-4844
(336) 228-7576
(336) 228-1464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910767
—
NC
Enumeration date
01/19/2011
Last updated
08/30/2013
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