Individual
DR. MARY BENNETT HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
415 S MAIN ST, ROXBORO, NC 27573-5527
(336) 599-4145
Mailing address
8218 WILKERSON RD, CEDAR GROVE, NC 27231-9318
(919) 644-0129
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5603
NC
Other
Enumeration date
06/13/2007
Last updated
12/21/2016
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