Individual
DR. MITCHELL JAY SIEGEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-3373
Mailing address
429 LAKE DR, SALISBURY, NC 28144-3452
(704) 642-0075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6004
IA
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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