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265 Westlake Rd Fayetteville NC 28314-4800 | |
(910) 864-2944 | |
(910) 864-1493 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 265 Westlake Rd, Fayetteville, North Carolina |
Authorized Official Name and Position | Mike Wansik Choe (PRESIDENT) |
Authorized Official Contact | 9108642944 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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265 Westlake Rd Fayetteville NC 28314-4800 Ph: (910) 864-2944 | 265 Westlake Rd Fayetteville NC 28314-4800 Ph: (910) 864-2944 |
NPI Number | 1245436237 |
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Provider Enumeration Date | 06/26/2007 |
Last Update Date | 04/21/2016 |
Identifier | Type | State | Issuer |
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1245436237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6412 (North Carolina) | Primary |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546 | |