Individual
LEISA MCGINTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 643-2196
Mailing address
2817 REILLY ROAD, FORT, NC 28310
(910) 643-2196
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9573
NC
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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