Individual
DIANE MEDARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6238 ARDENNES ST, FT LIBERTY, NC 28307
(910) 432-4821
Mailing address
328 DERBY LN, HOPE MILLS, NC 28348-7556
(910) 303-2048
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7604
NC
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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