Organization
KINLAW PLLC
Active
Other names
Mount Airy Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KAROL MANCHOLA (REGIONAL MANAGER)
(336) 415-7777
Entity
Organization
Contact information
Practice address
202 RAWLEY AVE UNIT 1, MOUNT AIRY, NC 27030-3530
(336) 415-7777
Mailing address
202 RAWLEY AVE UNIT 1, MOUNT AIRY, NC 27030-3530
(336) 415-7777
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
05/25/2021
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