| Private Diagnostic Clinic Pllc | |
|
2711 N Duke St Suite A Durham NC 27704-2619 | |
| (919) 220-1416 | |
| Not Available |
| Full Name | Private Diagnostic Clinic Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2711 N Duke St, Durham, North Carolina |
| Authorized Official Name and Position | Christopher Thomas Frederick (CFO) |
| Authorized Official Contact | 9196137762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Private Diagnostic Clinic Pllc Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Private Diagnostic Clinic Pllc 2711 N Duke St Suite A Durham NC 27704-2619 Ph: (919) 220-1416 |
| NPI Number | 1831416593 |
|---|---|
| Provider Enumeration Date | 04/21/2010 |
| Last Update Date | 07/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831416593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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