Myorthodontist | |
616 Dr Calvin Jones Hwy Ste 200 Wake Forest NC 27587-3106 | |
(919) 556-1422 | |
(919) 556-2455 |
Full Name | Myorthodontist |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 616 Dr Calvin Jones Hwy Ste 200, Wake Forest, 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 |
---|---|
Myorthodontist 5011 Southpark Dr Ste 220 Durham NC 27713-7738 Ph: (919) 240-7280 | Myorthodontist 616 Dr Calvin Jones Hwy Ste 200 Wake Forest NC 27587-3106 Ph: (919) 556-1422 |
NPI Number | 1699893792 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 03/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699893792 | NPI | - | NPPES |
1699893792 | Medicaid | NC |
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