Individual
DR. JULIA DIMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
3505 CONVERSE DR STE 175, WILMINGTON, NC 28403-6174
(910) 794-2266
Mailing address
1523 MAGNOLIA PL, WILMINGTON, NC 28403-4843
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6652
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1504012
UNITED CONCORDIA ID NUMBE
NC
05
—
8990162
—
NC
01
—
90162
BCBS
NC
Enumeration date
08/30/2006
Last updated
07/08/2007
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