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Individual

HANAN ELGENDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BDS, MS

Contact information

Practice address
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834-5925
(252) 737-7770
Mailing address
PO BOX 602790, CHARLOTTE, NC 28260-2790

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00210
NC
1223G0001X
General Practice Dentistry
40164
IA

Other

Enumeration date
10/30/2013
Last updated
03/23/2020
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