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11480 Capital Blvd. Suite 115 Caveness Farms Wake Forest NC 27587-4554 | |
(919) 570-9898 | |
(216) 584-1120 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 11480 Capital Blvd., Wake Forest, North Carolina |
Authorized Official Name and Position | Randall Mcclary (DENTIST/OWNER) |
Authorized Official Contact | 8004874867 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P.o. Box 860036 Minneapolis MN 55486 Ph: (919) 570-9898 | 11480 Capital Blvd. Suite 115 Caveness Farms Wake Forest NC 27587-4554 Ph: (919) 570-9898 |
NPI Number | 1780830489 |
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Provider Enumeration Date | 08/13/2008 |
Last Update Date | 06/30/2014 |
Identifier | Type | State | Issuer |
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1780830489 | NPI | - | NPPES |