Creedmoor Dental | |
505 N Main St Creedmoor NC 27522-8846 | |
(919) 528-8700 | |
Not Available |
Full Name | Creedmoor Dental |
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Speciality | Dentist - General Practice |
Location | 505 N Main St, Creedmoor, North Carolina |
Authorized Official Name and Position | Donghoon Lee (PRESIDENT) |
Authorized Official Contact | 9194953589 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Creedmoor Dental 505 N Main St Creedmoor NC 27522-8846 Ph: (919) 528-8700 | Creedmoor Dental 505 N Main St Creedmoor NC 27522-8846 Ph: (919) 528-8700 |
NPI Number | 1558773168 |
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Provider Enumeration Date | 06/02/2014 |
Last Update Date | 06/02/2014 |
Identifier | Type | State | Issuer |
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1558773168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 9417 (North Carolina) | Primary |
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