Blue Water Pediatric Dentistry | |
2106 Werrington Dr Holly Springs NC 27540-3330 | |
(919) 762-7013 | |
Not Available |
Full Name | Blue Water Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 2106 Werrington Dr, Holly Springs, North Carolina |
Authorized Official Name and Position | Boo Lee (SECRETARY) |
Authorized Official Contact | 9197627013 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Water Pediatric Dentistry 2106 Werrington Dr Holly Springs NC 27540-3330 Ph: () - | Blue Water Pediatric Dentistry 2106 Werrington Dr Holly Springs NC 27540-3330 Ph: (919) 762-7013 |
NPI Number | 1598007601 |
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Provider Enumeration Date | 03/27/2013 |
Last Update Date | 03/27/2013 |
Identifier | Type | State | Issuer |
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1598007601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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