Individual
MISS CAROLYN NICOLE SULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S. P.A.
Contact information
Practice address
1998 HENDERSONVILLE RD, SUITE 21, ASHEVILLE, NC 28803-2349
(828) 681-2003
(828) 684-4764
Mailing address
1998 HENDERSONVILLE RD, SUITE 21, ASHEVILLE, NC 28803-2349
(828) 681-2003
(828) 684-4764
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7492
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
902P7
—
NC
Enumeration date
08/03/2006
Last updated
07/24/2007
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