Provider First Line Business Practice Location Address:
1915 WEST PARK DRIVE STE 104
Provider Second Line Business Practice Location Address:
WILKES PUBLIC HEALTH DENTAL WEST
Provider Business Practice Location Address City Name:
NORTH WILKESBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28659
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-903-9399
Provider Business Practice Location Address Fax Number:
336-903-0464
Provider Enumeration Date:
06/04/2013