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Individual

DR. KEARA VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1915 W PARK DR STE 104, NORTH WILKESBORO, NC 28659-3777
(336) 903-9399
Mailing address
445 MICA CT, WINSTON SALEM, NC 27103-6461
(757) 771-4657

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
11420
NC
1223G0001X
General Practice Dentistry
Primary
11420
NC

Other

Enumeration date
06/12/2019
Last updated
06/16/2019
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