Individual
DR. MARIA MARIBEL NEVILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
610 GLENVILLE AVE, FAYETTEVILLE, NC 28303-4840
(910) 797-8978
Mailing address
PO BOX 58372, FAYETTEVILLE, NC 28305-8372
(910) 797-8978
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225018450
US GOVERNMENT
—
Enumeration date
01/23/2006
Last updated
12/18/2012
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