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1268 S Main St Wake Forest NC 27587-4997 | |
(919) 556-7820 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1268 S Main St, Wake Forest, North Carolina |
Authorized Official Name and Position | James Patrick Martin (ORTHODONTIST) |
Authorized Official Contact | 9194958591 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1268 S Main St Wake Forest NC 27587-4997 Ph: (919) 556-7820 | 1268 S Main St Wake Forest NC 27587-4997 Ph: (919) 556-7820 |
NPI Number | 1477024529 |
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Provider Enumeration Date | 12/16/2018 |
Last Update Date | 09/06/2019 |
Identifier | Type | State | Issuer |
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1477024529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |