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Individual

DR. JANE ELLEN MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1801 PURDUE DR STE 1, FAYETTEVILLE, NC 28304-3624
(347) 721-5324
Mailing address
1801 PURDUE DR, FAYETTEVILLE, NC 28304-3624
(347) 721-5324

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
033927
NY
1223G0001X
General Practice Dentistry
Primary
9388
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00725897
NY
Enumeration date
11/08/2006
Last updated
05/22/2024
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