Organization
JEWELL AND ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILSON O'KELLY JEWELL D.D.S. (MEMBER MANAGER)
(910) 791-2401
Entity
Organization
Contact information
Practice address
218 PINE GROVE DR, WILMINGTON, NC 28403-5160
(910) 791-2401
(910) 791-2408
Mailing address
218 PINE GROVE DR, WILMINGTON, NC 28403-5160
(910) 791-2401
(910) 791-2408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6483
NC
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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