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Organization
SURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC
Active
Organization
SURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UDAY N REEBYE (OWNER)
(919) 932-4425
Entity
Organization
Contact information
Practice address
2620 NEW BERN AVE, RALEIGH, NC 27610-1821
(919) 225-6899
Mailing address
9650 STRICKLAND RD, SUITE 103-177, RALEIGH, NC 27615-1902
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
812162341
NC
Other
Enumeration date
04/26/2017
Last updated
08/11/2020
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