Organization
ALLA ALEXIS SHRAGER DMD 4 PLLC
Active
Other names
Southern Dental Group, Southern Dental Group, Lake Gaston Dental - Warrenton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLA ALLA SHRAGER DMD (PRESIDENT)
(412) 720-9277
Entity
Organization
Contact information
Practice address
8331 BANDFORD WAY STE 105, RALEIGH, NC 27615-2765
(919) 636-5200
Mailing address
8331 BANDFORD WAY STE 105, RALEIGH, NC 27615-2765
(919) 636-5200
(919) 847-7391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12355
DENTAL
NC
Enumeration date
08/17/2023
Last updated
01/13/2025
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