Individual
NYKIA LATASHA MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 BREWER ST, ASHEBORO, NC 27203-4896
(336) 610-7000
Mailing address
517 PENRY RD, GREENSBORO, NC 27405-6525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11200
NC
Other
Enumeration date
04/18/2018
Last updated
10/03/2019
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