Individual
COURTNEY BULLARD CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
315 HWY 55, MOUNT OLIVE, NC 28365
(919) 658-9555
Mailing address
3800 NANTUCKET RD # B, GREENVILLE, NC 27834-2168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11855
NC
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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