| Durham | |
|
2609 N Duke St Suite 618 Durham NC 27704-3048 | |
| (919) 220-7768 | |
| (919) 220-0098 |
| Full Name | Durham |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2609 N Duke St, Durham, North Carolina |
| Authorized Official Name and Position | Raymond Garrison (PRESIDENT) |
| Authorized Official Contact | 7045491509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Durham 2609 N Duke St Suite 618 Durham NC 27704-3048 Ph: (919) 220-7768 | Durham 2609 N Duke St Suite 618 Durham NC 27704-3048 Ph: (919) 220-7768 |
| NPI Number | 1013048685 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013048685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3549 (North Carolina) | Primary |
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