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Organization

G GIBSON MCCALL, III, DDS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLENN GIBSON MCCALL III DDS (OWNER/MEMBER)
(910) 276-3166
Entity
Organization

Contact information

Practice address
501B WESTWOOD WAY, LAURINBURG, NC 28352-3459
(910) 276-3166
Mailing address
501B WESTWOOD WAY, LAURINBURG, NC 28352-3459

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7305
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89902CW
NC
Enumeration date
02/21/2008
Last updated
02/21/2008
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