Brier Creek Orthodontics | |
10411 Moncreiffe Rd Suite 105a Raleigh NC 27617-7819 | |
(919) 544-9700 | |
(919) 544-9002 |
Full Name | Brier Creek Orthodontics |
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Speciality | Clinic/center |
Location | 10411 Moncreiffe Rd, Raleigh, North Carolina |
Authorized Official Name and Position | J. Gina Lee (PRESIDENT) |
Authorized Official Contact | 9195449700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brier Creek Orthodontics 10411 Moncreiffe Rd Suite 105a Raleigh NC 27617-7819 Ph: (919) 544-9700 | Brier Creek Orthodontics 10411 Moncreiffe Rd Suite 105a Raleigh NC 27617-7819 Ph: (919) 544-9700 |
NPI Number | 1023294683 |
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Provider Enumeration Date | 01/14/2008 |
Last Update Date | 01/14/2008 |
Identifier | Type | State | Issuer |
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1023294683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 8083 (North Carolina) | Primary |
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