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Organization
WIRICK & ASSOCIATES, DDS, PA RALEIGH
Active
Organization
WIRICK & ASSOCIATES, DDS, PA RALEIGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW STEPHEN WIRICK DDS (PRESIDENT)
(919) 834-4932
Entity
Organization
Contact information
Practice address
2945 NEW BERN AVE, RALEIGH, NC 27610-1213
(919) 834-4932
(919) 834-7332
Mailing address
2945 NEW BERN AVE, RALEIGH, NC 27610-1213
(919) 834-4932
(919) 834-7332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012X0
—
NC
Enumeration date
07/15/2006
Last updated
08/22/2020
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