Individual
KIERSTEN DENISE BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4000
Mailing address
5119 CARLSON DAIRY RD, SUMMERFIELD, NC 27358-9210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11493
NC
1223G0001X
General Practice Dentistry
Primary
11493
NC
Other
Enumeration date
07/01/2019
Last updated
08/30/2022
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