Individual
ALEXANDRA DEMIDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
235 SAINT JOHN RD, SUITE 110, FLETCHER, NC 28732
(828) 654-7450
(828) 654-8665
Mailing address
405 E GLENSPRINGS CT, FLETCHER, NC 28732-8244
(910) 884-8182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12288
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2021
Last updated
04/23/2024
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