Individual
MICHAEL ISAIAH COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3980 WILSON RD, MEBANE, NC 27302-9985
(984) 203-4021
Mailing address
3980 WILSON RD, MEBANE, NC 27302-9985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13329
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2023
Last updated
06/21/2023
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