Organization
COUNTY OF RANDOLPH
Active
Other names
Randolph County Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TARA G AKER (PUBLIC HEALTH DIRECTOR)
(336) 318-6217
Entity
Organization
Contact information
Practice address
2222 S FAYETTEVILLE ST STE B, ASHEBORO, NC 27205-7368
(336) 318-6200
(336) 318-6234
Mailing address
2222 S FAYETTEVILLE ST STE B, ASHEBORO, NC 27205-7368
(336) 318-6200
(336) 318-6234
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
10/19/2021
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