Individual
MICAH NERIELLE JOAQUIN LEGASPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2165 PRITCHARD RD STE A, CLAYTON, NC 27527-9270
(984) 310-0128
Mailing address
2165 PRITCHARD RD STE A, CLAYTON, NC 27527-9270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14751
NC
1223G0001X
General Practice Dentistry
Primary
14751
NC
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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