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Organization
SHARON COBHAM DDS AND NICOLE LECANN DDS IV PA
Active
Organization
SHARON COBHAM DDS AND NICOLE LECANN DDS IV PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LECANN DDS (OWNER)
(919) 789-8682
Entity
Organization
Contact information
Practice address
4814 SIX FORKS RD, SUITE 102, RALEIGH, NC 27609
(919) 783-5550
(919) 791-1990
Mailing address
4814 SIX FORKS RD, SUITE 102, RALEIGH, NC 27609
(919) 783-5550
(919) 791-1990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6970
NC
1223G0001X
General Practice Dentistry
Primary
7000
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014NT
NCHC
NC
05
—
89014NT
—
NC
Enumeration date
12/19/2006
Last updated
05/02/2008
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