| Blue Water Pediatric Dentistry | |
|
2106 Werrington Dr Holly Springs NC 27540-3330 | |
| (919) 762-7013 | |
| Not Available |
| Full Name | Blue Water Pediatric Dentistry |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598007601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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