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1440 Brogden Woods Dr Ste 101 Wake Forest NC 27587-9827 | |
(919) 888-4809 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 1440 Brogden Woods Dr Ste 101, Wake Forest, North Carolina |
Authorized Official Name and Position | Nina Thomas (OWNER) |
Authorized Official Contact | 7044085590 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1440 Brogden Woods Dr Ste 101 Wake Forest NC 27587-9827 Ph: (919) 888-4809 | 1440 Brogden Woods Dr Ste 101 Wake Forest NC 27587-9827 Ph: (919) 888-4809 |
NPI Number | 1801398060 |
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Provider Enumeration Date | 03/05/2018 |
Last Update Date | 03/05/2018 |
Identifier | Type | State | Issuer |
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1801398060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |