Edmond W Suh Dds Pa | |
1711 S Main Street Wake Forest NC 27587-9287 | |
(919) 556-6200 | |
(919) 556-0699 |
Full Name | Edmond W Suh Dds Pa |
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Speciality | Dentist |
Location | 1711 S Main Street, Wake Forest, North Carolina |
Authorized Official Name and Position | Edmond W Suh (PRESIDENT) |
Authorized Official Contact | 9195566200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Edmond W Suh Dds Pa 1711 S Main Street Wake Forest NC 27587-9287 Ph: (919) 556-6200 | Edmond W Suh Dds Pa 1711 S Main Street Wake Forest NC 27587-9287 Ph: (919) 556-6200 |
NPI Number | 1982876926 |
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Provider Enumeration Date | 03/31/2008 |
Last Update Date | 03/31/2008 |
Identifier | Type | State | Issuer |
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1982876926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 7092 (North Carolina) | Primary |