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6250 Rogers Rd Rolesville NC 27571 | |
| (757) 339-3279 | |
| (919) 779-6682 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6250 Rogers Rd, Rolesville, North Carolina |
| Authorized Official Name and Position | Kenisha Lashae Grant (VICE PRESIDENT/SECRETARY) |
| Authorized Official Contact | 7573393279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1005 Turner Meadow Dr Raleigh NC 27603-7995 Ph: (757) 339-3279 | 6250 Rogers Rd Rolesville NC 27571 Ph: (757) 339-3279 |
| NPI Number | 1124281084 |
|---|---|
| Provider Enumeration Date | 07/09/2008 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124281084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7982 (North Carolina) | 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 | |