Organization
BODNAR & WYATT, PLLC
Active
Other names
Cataloochee Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE S. BENGE (CDPMA)
(828) 627-1050
Entity
Organization
Contact information
Practice address
103 HAYWOOD PARK DR, CLYDE, NC 28721-4405
(828) 627-1050
(828) 627-1056
Mailing address
103 HAYWOOD PARK DR, CLYDE, NC 28721-4405
(828) 627-1050
(828) 627-1056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902433
—
NC
Enumeration date
07/19/2006
Last updated
10/02/2013
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