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11420 Falls Of Neuse Rd Wake Forest NC 27587 | |
(919) 562-5433 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 11420 Falls Of Neuse Rd, Wake Forest, North Carolina |
Authorized Official Name and Position | Ryan Galligan (PRESIDENT) |
Authorized Official Contact | 9195625433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11420 Falls Of Neuse Rd Wake Forest NC 27587 Ph: () - | 11420 Falls Of Neuse Rd Wake Forest NC 27587 Ph: (919) 562-5433 |
NPI Number | 1184834129 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 03/26/2014 |
Identifier | Type | State | Issuer |
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1184834129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 7978 (North Carolina) | Primary |