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1900 S Main St Suite 206 Wake Forest NC 27587-5026 | |
(919) 562-7008 | |
(919) 562-9809 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1900 S Main St, Wake Forest, North Carolina |
Authorized Official Name and Position | George Mani (DDS, OWNER) |
Authorized Official Contact | 9195627008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1900 S Main St Suite 206 Wake Forest NC 27587-5026 Ph: (919) 562-7008 | 1900 S Main St Suite 206 Wake Forest NC 27587-5026 Ph: (919) 562-7008 |
NPI Number | 1336367184 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1336367184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 5977 (North Carolina) | Primary |