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620 Lillington Hwy Spring Lake NC 28390-2119 | |
(919) 225-0613 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 620 Lillington Hwy, Spring Lake, North Carolina |
Authorized Official Name and Position | Eric J Roman (OWNER) |
Authorized Official Contact | 9192250613 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 500 Spring Lake NC 28390-0500 Ph: () - | 620 Lillington Hwy Spring Lake NC 28390-2119 Ph: (919) 225-0613 |
NPI Number | 1407294200 |
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Provider Enumeration Date | 06/13/2013 |
Last Update Date | 06/13/2013 |
Identifier | Type | State | Issuer |
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1407294200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 8397 (* (Not Available)) | Primary |
Carolinas Dentist Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Lillington Hwy, Spring Lake, NC 28390 Phone: 330-951-9153 | |