| Rtp Pediatric Dentistry | |
|
5318 Nc Highway 55 Ste 202 Durham NC 27713-9660 | |
| (919) 827-1350 | |
| Not Available |
| Full Name | Rtp Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5318 Nc Highway 55 Ste 202, Durham, North Carolina |
| Authorized Official Name and Position | Zhengyan Wang (OWNER) |
| Authorized Official Contact | 9198371350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rtp Pediatric Dentistry 5318 Nc Highway 55 Suite 202 Durham NC 27713-9659 Ph: () - | Rtp Pediatric Dentistry 5318 Nc Highway 55 Ste 202 Durham NC 27713-9660 Ph: (919) 827-1350 |
| NPI Number | 1972924330 |
|---|---|
| Provider Enumeration Date | 01/02/2014 |
| Last Update Date | 09/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972924330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9505 (North Carolina) | Primary |
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