Individual
DR. MARY ELLEN KINGERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2554 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8110
(336) 766-0511
(336) 766-7390
Mailing address
2554 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8110
(336) 766-0511
(336) 766-7390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5158
TN
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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