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1400 Walter Reed Rd Fayetteville NC 28304-4409 | |
(910) 864-9884 | |
(910) 354-1399 |
Full Name | |
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Speciality | Dentist |
Location | 1400 Walter Reed Rd, Fayetteville, North Carolina |
Authorized Official Name and Position | Maureen Shiroma (DIRECTOR OF OFFICE MANAGERS) |
Authorized Official Contact | 3367471523 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 26394 Winston Salem NC 27114-6394 Ph: (704) 816-1401 | 1400 Walter Reed Rd Fayetteville NC 28304-4409 Ph: (910) 864-9884 |
NPI Number | 1285803197 |
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Provider Enumeration Date | 02/25/2008 |
Last Update Date | 04/12/2024 |
Identifier | Type | State | Issuer |
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1285803197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546 | |