Individual
ADAM MARK SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
408 E COLONIAL AVE, ELIZABETH CITY, NC 27909-4363
(252) 335-4341
Mailing address
408 COLONIAL AVE, ELIZABETH CITY, NC 27909
(252) 335-4341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10966
NC
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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