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Organization

ROTH & POWELL III DDS PA

Active
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Organization

ROTH & POWELL III DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTY BALDWIN (COO)
(919) 345-9511
Entity
Organization

Contact information

Practice address
3110 NEW BERN AVE, RALEIGH, NC 27610-1200
(919) 345-9511
(919) 400-4408
Mailing address
PO BOX 98175, RALEIGH, NC 27624-8175

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
03/22/2018
Last updated
04/03/2018
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