Individual
DR. ELLEN DIANE NORDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2720 GRAVES DR, GOLDSBORO, NC 27534-4512
(919) 778-0098
Mailing address
314 PICKENS DR N, GOLDSBORO, NC 27530-9097
(507) 363-6157
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9263
NC
122300000X
Dentist
D12705
MN
Other
Enumeration date
06/16/2009
Last updated
11/06/2013
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