Organization
MJ MAYHEW PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J MAYHEW DDS MS PA (ORTHODONTIST/PEDIATRIC DENTISIT OWN)
(828) 264-0110
Entity
Organization
Contact information
Practice address
120 WILKESBORO AVE, NORTH WILKESBORO, NC 28659-4218
(828) 264-0110
Mailing address
120 WILKESBORO AVE, NORTH WILKESBORO, NC 28659-4218
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4664
NC
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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