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DR. DERWOOD LEE ASHWORTH D.D.S., M.SC.O.

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1699897017

Individual Registrant:
DR. DERWOOD LEE ASHWORTH D.D.S., M.SC.O.
Gender: M
Sole Proprietor

Location and contact information for practice:
110A WILKESBORO AVE  NORTH WILKESBORO, NC 28659-4218 US
Tel: 336-667-4752  Fax: 336-667-1693

Contact information for business:
PO BOX 1065  NORTH WILKESBORO, NC 28659-1065 US
Tel: 336-667-4752  Fax: 336-667-1693

Registration Information:
NPI: 1699897017
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
NC2880
Y1223X0400XDental Providers
Dentist
NC

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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