Organization
SUNRISE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DINAH BLACK VICE D.D.S. (OWNER)
(919) 878-0055
Entity
Organization
Contact information
Practice address
1009 SPRING FOREST RD, RALEIGH, NC 27615-5833
(919) 878-0055
(919) 878-0096
Mailing address
1009 SPRING FOREST RD, RALEIGH, NC 27615-5833
(919) 878-0055
(919) 878-0096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5428
NC
Other
Enumeration date
08/22/2006
Last updated
01/18/2012
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