Individual
MARSHA R TAYLOR-ANDEMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
70 CRAPE MYRTLE DR STE 104, COMMWELL HEALTH, BENSON, NC 27504-8034
(919) 938-0875
Mailing address
70 CRAPE MYRTLE DR STE 104, COMMWELL HEALTH, BENSON, NC 27504-8034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
709ZZZ
—
AZ
Enumeration date
07/03/2006
Last updated
06/10/2014
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