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Individual

PAUL HENRY BAILEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1405 WESTGATE CENTER DR, WINSTON-SALEM, NC 27103-2995
(336) 765-5374
(336) 760-3066
Mailing address
1405 WESTGATE CENTER DR, WINSTON-SALEM, NC 27103-2995
(336) 765-5374
(336) 760-3066

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4994
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8990329
NC
01
90329
BCBS
NC
Enumeration date
06/12/2006
Last updated
07/08/2007
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