Individual
CARMEN LIANNE LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
900 SUMMIT AVE, GREENSBORO, NC 27405-7918
(336) 370-1112
(336) 544-0739
Mailing address
2041 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-5147
(336) 777-0303
(336) 777-3448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903774
—
NC
01
—
90266
BLUE CROSS BLUE SHIELD NC
—
Enumeration date
08/25/2006
Last updated
07/08/2007
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