Individual
MARGUERITE MARIE VAN DER VORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 N MITCHELL AVE, BAKERSVILLE, NC 28705-6502
(828) 537-5991
Mailing address
89 N MITCHELL AVE, BAKERSVILLE, NC 28705-6502
(828) 537-5991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13258
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2023
Last updated
05/31/2023
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