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Individual

LINDSEY E OTERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
509 OLDE WATERFORD WAY, SUITE 300, LELAND, NC 28451-4125
(910) 383-0100
(910) 383-0121
Mailing address
1208 CAROLINA BEACH AVE N, 2B, CAROLINA BEACH, NC 28428
(910) 458-4559

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8058
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5901280
NC
Enumeration date
09/21/2006
Last updated
07/08/2007
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