Renee Wall, Dds, Pa | |
100 Hyannis Dr Holly Springs NC 27540-8327 | |
(919) 362-1394 | |
Not Available |
Full Name | Renee Wall, Dds, Pa |
---|---|
Speciality | Dentist - General Practice |
Location | 100 Hyannis Dr, Holly Springs, North Carolina |
Authorized Official Name and Position | Renee A Wall (OWNER/DENTIST) |
Authorized Official Contact | 9193621394 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Renee Wall, Dds, Pa 100 Hyannis Dr Holly Springs NC 27540-8327 Ph: (919) 362-1394 | Renee Wall, Dds, Pa 100 Hyannis Dr Holly Springs NC 27540-8327 Ph: (919) 362-1394 |
NPI Number | 1891171138 |
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Provider Enumeration Date | 08/10/2015 |
Last Update Date | 08/10/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891171138 | NPI | - | NPPES |
811370 | Other | NC | UNITED CONCORDIA |
9008P | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6732 (North Carolina) | Primary |
1223G0001X | Dentist - General Practice | 9328 (North Carolina) | Secondary |
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