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101 Redford Place Drive Suite 300 Rolesville NC 27571 | |
(919) 931-8626 | |
Not Available |
Full Name | |
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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 |
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Po Box 603763 Charlotte NC 28260-3763 Ph: () - | 101 Redford Place Drive Suite 300 Rolesville NC 27571 Ph: (919) 931-8626 |
NPI Number | 1548976897 |
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Provider Enumeration Date | 01/30/2023 |
Last Update Date | 01/30/2023 |
Identifier | Type | State | Issuer |
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1548976897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Amy H See Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Southtown Circle, Rolesville, NC 27571 Phone: 919-562-8200 Fax: 919-562-5467 | |