Individual
ANDREA LYNN SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7228 MONCURE PITTSBORO RD, MONCURE, NC 27559-9595
(919) 542-1641
Mailing address
105 FIDELITY ST APT A34, CARRBORO, NC 27510-2065
(919) 448-8961
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9134
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5922402
—
NC
Enumeration date
06/20/2011
Last updated
06/24/2013
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