| Brush | |
|
601 Fayetteville St Suite 100 Durham NC 27701-3910 | |
| (919) 688-8949 | |
| (919) 688-6068 |
| Full Name | Brush |
|---|---|
| Speciality | Dentist |
| Location | 601 Fayetteville St, Durham, North Carolina |
| Authorized Official Name and Position | Nciole Sharisse Lyons (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 9196888949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brush 601 Fayetteville St Suite 100 Durham NC 27701-3910 Ph: (919) 688-8949 | Brush 601 Fayetteville St Suite 100 Durham NC 27701-3910 Ph: (919) 688-8949 |
| NPI Number | 1821434341 |
|---|---|
| Provider Enumeration Date | 05/13/2013 |
| Last Update Date | 05/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821434341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6184 (North Carolina) | Primary |
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