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1780438002
MICHAEL MAHAN
GREENVILLE, NC
NPI
1780438002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 13944)
Enumeration Date
2024-04-15
Last Update Date
2024-08-09
Business Address
Dr. MICHAEL MAHAN DDS
1701 SE GREENVILLE BLVD
GREENVILLE, NC 27858-4811
Phone number: 252-375-8755
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Mailing Address
Dr. MICHAEL MAHAN DDS
256 HAWTHORNE ST
MEMPHIS, TN 38112-5312
Phone number: 630-484-4057
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