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Organization

CUTHRELL, DDS AND MOCHNICK, DMD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN CUTHRELL DDS (OWNER)
(336) 765-3712
Entity
Organization

Contact information

Practice address
1341 WESTGATE CENTER DR STE B, WINSTON SALEM, NC 27103-3043
(336) 765-3712
(336) 760-0667
Mailing address
1341 WESTGATE CENTER DR STE B, WINSTON SALEM, NC 27103-3043
(336) 765-3712
(336) 760-0667

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5742
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8990155
NC
Enumeration date
06/30/2006
Last updated
07/05/2016
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