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515 Dr Calvin Jones Hwy #120 Wake Forest NC 27587 | |
(919) 453-5016 | |
(984) 646-5518 |
Full Name | |
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Speciality | Dentist |
Location | 515 Dr Calvin Jones Hwy, Wake Forest, North Carolina |
Authorized Official Name and Position | Rodney Alles (OWNER) |
Authorized Official Contact | 9723318079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | 515 Dr Calvin Jones Hwy #120 Wake Forest NC 27587 Ph: (919) 453-5016 |
NPI Number | 1184325102 |
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Provider Enumeration Date | 03/16/2023 |
Last Update Date | 05/19/2023 |
Identifier | Type | State | Issuer |
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1184325102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |