Organization
JYOTIMALLIKA, D.M.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHISH SINGH (MANAGER)
(252) 767-9619
Entity
Organization
Contact information
Practice address
568 RUIN CREEK RD STE 127, HENDERSON, NC 27536-2881
(252) 430-7110
Mailing address
568 RUIN CREEK RD STE 127, HENDERSON, NC 27536-2881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/24/2025
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