Individual
SHIRLEY MONTHA AYDELOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
BLDG H-3718 GRUBER RD, FORT BRAGG, NC 28310-0001
(910) 396-1571
(910) 396-6202
Mailing address
BLDG H-3718 GRUBER RD, FORT BRAGG, NC 28310-0001
(910) 396-1571
(910) 396-6202
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9994
NC
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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