Individual
KEVIN BUCHHOLTZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3000 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-8212
(919) 739-6774
Mailing address
1306 CLARENDON DR, GREENSBORO, NC 27410-3912
(336) 209-0459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6801
NC
Other
Enumeration date
02/23/2014
Last updated
02/23/2014
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