Individual
JUTHIKA JYOTIMALLIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
601 FAYETTEVILLE ST STE 100, DURHAM, NC 27701-3997
(919) 973-0178
Mailing address
333 WHITE OAK DR, HENDERSON, NC 27536-4752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11177
NC
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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