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1750797023
MARK SHALLAL-AYZIN
CHAPEL HILL, NC
NPI
1750797023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: NC 151001)
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
-- MARK SHALLAL-AYZIN
1098 OLD DENTAL BUILDING CAMPUS BOX 7450
CHAPEL HILL, NC 27599-0001
Phone number: 248-835-5343
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Mailing Address
-- MARK SHALLAL-AYZIN
724 N HERITAGE CIR
CHAPEL HILL, NC 27516-4203
Phone number: 248-835-5343
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