Individual
MIGUEL ANGEL SIMANCAS-PALLARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
228 BRAUER HALL CB#7450, CHAPEL HILL, NC 27599-0001
(919) 579-4983
Mailing address
306 ESTES DRIVE EXT APT J12, CARRBORO, NC 27510-1432
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
151268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151268
NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS
NC
Enumeration date
02/04/2020
Last updated
02/04/2020
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