Individual
DR. JONATHAN G CUTHRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1341 WESTGATE CENTER DR STE B, WINSTON SALEM, NC 27103-3043
(336) 765-3712
(336) 760-0667
Mailing address
1341 WESTGATE CENTER DR STE B, WINSTON SALEM, NC 27103-3043
(336) 765-3712
(336) 760-0667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890015M
—
NC
Enumeration date
02/20/2007
Last updated
07/08/2007
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