| Tfd - Rolesville | |
|
101 Redford Place Drive Suite 300 Rolesville NC 27571 | |
| (919) 931-8626 | |
| Not Available |
| Full Name | Tfd - Rolesville |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Redford Place Drive, Rolesville, North Carolina |
| Authorized Official Name and Position | Amena Holley (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2485505440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tfd - Rolesville Po Box 603763 Charlotte NC 28260-3763 Ph: () - | Tfd - Rolesville 101 Redford Place Drive Suite 300 Rolesville NC 27571 Ph: (919) 931-8626 |
| NPI Number | 1548976897 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548976897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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