Individual
DR. MARK SIMEON CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
468 NC HWY 24-87, CAMERON, NC 28326
(919) 498-0575
Mailing address
468 NC HWY 24-87, CAROLINA LAKES FAMILY DENTISTRY, CAMERON, NC 28326
(919) 498-0575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9336
NC
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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