Individual
BETHANY MCIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 AIRPORT RD, KINSTON, NC 28504-8814
(252) 624-9698
Mailing address
3300 LANGSTON BLVD, WINTERVILLE, NC 28590-9643
(337) 207-0697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6471
LA
Other
Enumeration date
06/10/2014
Last updated
01/07/2016
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