Individual
DR. MADELYN GRAY SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
271 HOWARD BLVD, NEWPORT, NC 28570-7927
(252) 223-4161
Mailing address
211 DOGWOOD ST, ATLANTIC BEACH, NC 28512-5104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11837
NC
Other
Enumeration date
05/11/2020
Last updated
06/11/2020
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