Individual
DAVID JASON MOHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
408 PARKWAY, SUITE A1, GREENSBORO, NC 27401-1661
(336) 663-8586
(877) 710-7903
Mailing address
408 PARKWAY, SUITE A1, GREENSBORO, NC 27401-1661
(336) 663-8586
(877) 710-7903
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
6366
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990074
—
NC
Enumeration date
11/16/2006
Last updated
04/10/2017
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