Individual
DR. LAURA VIRGINIA MAULDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
701 N 2ND ST, ALBEMARLE, NC 28001-3313
(704) 982-6312
(704) 983-7951
Mailing address
701 N 2ND ST, ALBEMARLE, NC 28001-3313
(704) 982-6312
(704) 983-7951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5913
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02614
BLUE CROSS
NC
05
—
8995562
—
NC
Enumeration date
07/11/2006
Last updated
07/08/2007
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