| Kitt Creek Family Dentistry | |
|
5322 Nc Highway 55 Ste 104 Durham NC 27713-7816 | |
| (919) 259-9505 | |
| Not Available |
| Full Name | Kitt Creek Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 5322 Nc Highway 55 Ste 104, Durham, North Carolina |
| Authorized Official Name and Position | Elaine F Marshall (SECRETARY OF STATE, NORTH CAROLINA) |
| Authorized Official Contact | 9198072000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitt Creek Family Dentistry 5322 Nc Highway 55 Ste 104 Durham NC 27713-7816 Ph: () - | Kitt Creek Family Dentistry 5322 Nc Highway 55 Ste 104 Durham NC 27713-7816 Ph: (919) 259-9505 |
| NPI Number | 1730343625 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730343625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8426 (North Carolina) | Primary |
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