Organization
KRISTIN MAIN DDS, PLLC
Active
Other names
Main Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN L MAIN DDS (OWNER DENTIST)
(616) 403-1510
Entity
Organization
Contact information
Practice address
110 VILLAGE RD NE UNIT A, LELAND, NC 28451-7412
(910) 371-0966
(910) 371-0968
Mailing address
110 VILLAGE RD NE UNIT A, LELAND, NC 28451-7412
(910) 371-0966
(910) 371-0968
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609005859
—
NC
Enumeration date
08/05/2022
Last updated
08/05/2022
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