Spouh Dds Pllc | |
12612 Capital Blvd Ste 100 Wake Forest NC 27587 | |
(919) 435-3314 | |
Not Available |
Full Name | Spouh Dds Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 12612 Capital Blvd Ste 100, Wake Forest, North Carolina |
Authorized Official Name and Position | Mohammad Spouh (OWNER) |
Authorized Official Contact | 9194353314 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spouh Dds Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Spouh Dds Pllc 12612 Capital Blvd Ste 100 Wake Forest NC 27587 Ph: (919) 435-3314 |
NPI Number | 1407432792 |
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Provider Enumeration Date | 03/18/2021 |
Last Update Date | 06/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407432792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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