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7011 Fayetteville Rd Ste 201 Durham NC 27713-7748 | |
| (919) 493-8944 | |
| (919) 490-1880 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7011 Fayetteville Rd Ste 201, Durham, North Carolina |
| Authorized Official Name and Position | Lawrence Joel Moray (OWNER) |
| Authorized Official Contact | 9192407280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5011 Southpark Dr Ste 220 Durham NC 27713-7738 Ph: (919) 240-7280 | 7011 Fayetteville Rd Ste 201 Durham NC 27713-7748 Ph: (919) 493-8944 |
| NPI Number | 1992975593 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992975593 | NPI | - | NPPES |
| 1992975593 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
S. Alicia Ramos Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 W Nc Highway 54, Suite 260, Durham, NC 27707 Phone: 919-493-5714 Fax: 919-489-7321 | |
Dr Santa M. Mckibbins, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1413 W Nc Highway 54, Durham, NC 27707 Phone: 919-493-6860 | |
Dinah B Vice Dds Pa Iii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8218 Renaissance Pkwy, Suite 203, Durham, NC 27713 Phone: 919-493-3355 Fax: 919-361-3371 | |