| Myorthodontist | |
|
222 Fairway Dr Fayetteville NC 28305-5512 | |
| (800) 696-7846 | |
| Not Available |
| Full Name | Myorthodontist |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 222 Fairway Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Lawrence Joel Moray (OWNER) |
| Authorized Official Contact | 9199285852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myorthodontist 5011 Southpark Dr Ste 220 Durham NC 27713-7738 Ph: (919) 928-5852 | Myorthodontist 222 Fairway Dr Fayetteville NC 28305-5512 Ph: (800) 696-7846 |
| NPI Number | 1457022378 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457022378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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