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Organization
LAURA L. CHAMBERLAIN, DDS, PA
Active
Organization
LAURA L. CHAMBERLAIN, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEA CHAMBERLAIN DDS (DENTIST/OWNER)
(919) 489-5600
Entity
Organization
Contact information
Practice address
3608 SHANNON RD, SUITE 205, DURHAM, NC 27707-6344
(919) 489-5600
(919) 489-2555
Mailing address
3608 SHANNON RD, SUITE 205, DURHAM, NC 27707-6344
(919) 489-5600
(919) 489-2555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5546
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91481
BLUE CROSS BLUE SHIELD ID
—
01
—
974731
UNITED CONCORDIA ID#
—
Enumeration date
10/02/2006
Last updated
11/26/2007
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