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1408 Skibo Rd. Fayetteville NC 28303 | |
(910) 922-9989 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 1408 Skibo Rd., Fayetteville, North Carolina |
Authorized Official Name and Position | Jasminka Jelic (OPERATION MANAGER) |
Authorized Official Contact | 9109229989 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3805 Doonvalley Dr Fayetteville NC 28306-7564 Ph: (910) 922-9989 | 1408 Skibo Rd. Fayetteville NC 28303 Ph: (910) 922-9989 |
NPI Number | 1053618801 |
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Provider Enumeration Date | 02/14/2011 |
Last Update Date | 02/14/2011 |
Identifier | Type | State | Issuer |
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1053618801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546 | |