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610 Dr Calvin Jones Hwy Ste 100 Wake Forest NC 27587-3104 | |
(919) 336-5230 | |
Not Available |
Full Name | |
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Speciality | Dentist - Endodontics |
Location | 610 Dr Calvin Jones Hwy Ste 100, Wake Forest, North Carolina |
Authorized Official Name and Position | Gloria Bohne (DIRECTOR OF RCM) |
Authorized Official Contact | 9843080506 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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610 Dr Calvin Jones Hwy Ste 100 Wake Forest NC 27587-3104 Ph: (919) 336-5230 | 610 Dr Calvin Jones Hwy Ste 100 Wake Forest NC 27587-3104 Ph: (919) 336-5230 |
NPI Number | 1265117725 |
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Provider Enumeration Date | 06/21/2023 |
Last Update Date | 12/23/2024 |
Identifier | Type | State | Issuer |
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1265117725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |