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Individual

SAMUEL JONATHAN ROY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D D S M D

Contact information

Practice address
330 JAKE ALEXANDER BLVD W, SUITE 103, SALISBURY, NC 28147-1384
(704) 754-2679
Mailing address
302 KINGSBRIDGE ROAD, SALISBURY, NC 28144
(704) 680-3078

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
NC

Other

Enumeration date
08/22/2006
Last updated
07/08/2007
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