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5428 Yadkin Rd Fayetteville NC 28303-3199 | |
(910) 868-4664 | |
(910) 868-4949 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 5428 Yadkin Rd, Fayetteville, North Carolina |
Authorized Official Name and Position | Patrice Aris Barber (OWNER) |
Authorized Official Contact | 9108684664 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5428 Yadkin Rd Fayetteville NC 28303-3199 Ph: (910) 868-4664 | 5428 Yadkin Rd Fayetteville NC 28303-3199 Ph: (910) 868-4664 |
NPI Number | 1104155506 |
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Provider Enumeration Date | 12/14/2009 |
Last Update Date | 12/14/2009 |
Identifier | Type | State | Issuer |
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1104155506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 7884 (North Carolina) | Primary |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546 | |