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Organization

OTERO & OTERO DDS PA

Active
Other names
Otero Family, Cosmetic & Implant Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MISAEL J OTERO DDS (DENTIST, OWNER)
(910) 270-9344
Entity
Organization

Contact information

Practice address
14057 US HIGHWAY 17, SUITE 120, HAMPSTEAD, NC 28443
(910) 270-9344
Mailing address
14057 US HIGHWAY 17, SUITE 120, HAMPSTEAD, NC 28443
(910) 270-9344

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8019
NC
261QD0000X
Dental Clinic/Center
8058
NC

Other

Enumeration date
09/04/2008
Last updated
09/04/2008
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