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1285614917
GARY EDWARD PRILLAMAN
MOCKSVILLE, NC
NPI
1285614917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 4247)
Enumeration Date
2006-01-19
Last Update Date
2007-07-10
Business Address
-- GARY EDWARD PRILLAMAN DDS
118 HOSPITAL ST
MOCKSVILLE, NC 27028-2008
Phone number: 336-751-6289
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Mailing Address
-- GARY EDWARD PRILLAMAN DDS
118 HOSPITAL ST
MOCKSVILLE, NC 27028-2008
Phone number:
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