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Individual

DR. JOAN FRANCES CAMILLA TULLOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BDS, FDS, D.ORTH, RC

Contact information

Practice address
101 BRAUER HALL CB # 7450, CHAPEL HILL, NC 27599-0001
(919) 966-1221
Mailing address
360 TENNEY CIR, CHAPEL HILL, NC 27514-7803

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0004
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89-98606
NC
Enumeration date
08/23/2006
Last updated
07/08/2007
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