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Individual

DR. JEROME MICHAEL DUREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
25 W MYRTLE ST, BELMONT, NC 28012-5201
(704) 825-8652
(704) 825-8652
Mailing address
25 W MYRTLE ST, BELMONT, NC 28012-5201
(704) 825-8652
(704) 825-8652

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5439
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7992258
NC
Enumeration date
12/19/2006
Last updated
07/08/2007
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