Individual
DR. KRISTIN LEIGH MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1625 N. MAIN ST., SUITE 201, FUQUAY-VARINA, NC 27526
(919) 557-7799
(919) 557-6677
Mailing address
8470 FALLS OF NEUSE RD, SUITE 202, RALEIGH, NC 27615
(919) 977-0627
(919) 977-4079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8893
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2009
Last updated
01/07/2016
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