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Individual

MR. JAMISON CORY PROBST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
115 E COLLEGE ST, STANLEY, NC 28164-1815
(704) 263-8845
Mailing address
115 E COLLEGE ST, STANLEY, NC 28164-1815
(704) 263-8845

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10440
NC

Other

Enumeration date
06/24/2016
Last updated
06/24/2016
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