Individual
DR. GLORIA ENIBETTE ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6 PROFESSIONAL DR, SNOW HILL, NC 28580-1333
(252) 747-3846
Mailing address
7 PROFESSIONAL DR, SNOW HILL, NC 28580-1332
(252) 747-8162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8646
NC
1223G0001X
General Practice Dentistry
2803
PR
1223G0001X
General Practice Dentistry
Primary
8646
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910631
—
NC
Enumeration date
02/27/2008
Last updated
02/01/2023
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