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11220 Us 15 501 Hwy Aberdeen NC 28315-2434 | |
| (910) 518-9559 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 11220 Us 15 501 Hwy, Aberdeen, North Carolina |
| Authorized Official Name and Position | Marina Ramirez (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2026303939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11220 Us 15 501 Hwy Ste B Aberdeen NC 28315-2435 Ph: () - | 11220 Us 15 501 Hwy Aberdeen NC 28315-2434 Ph: (910) 518-9559 |
| NPI Number | 1366201717 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366201717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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