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101 Redford Place Dr Ste 200 Rolesville NC 27571-9545 | |
(919) 977-0627 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 101 Redford Place Dr Ste 200, Rolesville, North Carolina |
Authorized Official Name and Position | Amena Holley (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 2485505440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 603775 Charlotte NC 28260-3775 Ph: () - | 101 Redford Place Dr Ste 200 Rolesville NC 27571-9545 Ph: (919) 977-0627 |
NPI Number | 1972218162 |
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Provider Enumeration Date | 01/23/2023 |
Last Update Date | 12/08/2023 |
Identifier | Type | State | Issuer |
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1972218162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Amy H See Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Southtown Circle, Rolesville, NC 27571 Phone: 919-562-8200 Fax: 919-562-5467 | |