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6406 Mccrimmon Pkwy Suite 220 Morrisville NC 27560-8144 | |
| (919) 295-4694 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6406 Mccrimmon Pkwy, Morrisville, North Carolina |
| Authorized Official Name and Position | Lucas J Nazario (PRESIDENRT) |
| Authorized Official Contact | 9192954694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1006 Lyndhurst Falls Ln Knightdale NC 27545-9716 Ph: (919) 295-4694 | 6406 Mccrimmon Pkwy Suite 220 Morrisville NC 27560-8144 Ph: (919) 295-4694 |
| NPI Number | 1194041137 |
|---|---|
| Provider Enumeration Date | 04/15/2010 |
| Last Update Date | 04/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194041137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8294 (North Carolina) | Primary |
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