Individual
DR. JANNA CLONINGER CIVILS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
601 WALTER REED DR, GREENSBORO, NC 27403-4647
(336) 763-8833
(336) 855-1343
Mailing address
601 WALTER REED DR, GREENSBORO, NC 27403-4647
(336) 763-8833
(336) 855-1343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7263
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899018W
—
NC
01
—
9018W
BCBS
NC
Enumeration date
04/20/2006
Last updated
07/25/2014
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