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1524 Nc Highway 87 South Cameron NC 28326 | |
| (910) 246-3232 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1524 Nc Highway 87 South, Cameron, North Carolina |
| Authorized Official Name and Position | Jason A Olsen (CO-MANAGER) |
| Authorized Official Contact | 9102463232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10564 S Us Highway 15 501 Suite D Southern Pines NC 28387-5167 Ph: (910) 246-3232 | 1524 Nc Highway 87 South Cameron NC 28326 Ph: (910) 246-3232 |
| NPI Number | 1669891289 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 04/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669891289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8177 (North Carolina) | Primary |