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3608 Shannon Rd Ste 205 Durham NC 27707-6344 | |
| (919) 402-9200 | |
| (919) 287-2525 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3608 Shannon Rd Ste 205, Durham, North Carolina |
| Authorized Official Name and Position | Peter Artin Tzendzalian (PRESIDENT) |
| Authorized Official Contact | 9194029200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 110317621 Sioux Falls SD 57186-0001 Ph: (919) 402-9200 | 3608 Shannon Rd Ste 205 Durham NC 27707-6344 Ph: (919) 402-9200 |
| NPI Number | 1184137374 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 11/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184137374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7236 (North Carolina) | Primary |
S. Alicia Ramos Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 W Nc Highway 54, Suite 260, Durham, NC 27707 Phone: 919-493-5714 Fax: 919-489-7321 | |
Dr Santa M. Mckibbins, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1413 W Nc Highway 54, Durham, NC 27707 Phone: 919-493-6860 | |
Dinah B Vice Dds Pa Iii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8218 Renaissance Pkwy, Suite 203, Durham, NC 27713 Phone: 919-493-3355 Fax: 919-361-3371 | |