Organization
ROTH, POWELL MANN II DDS PA
Active
Other names
carolina dental @ glenwood
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY BALDWIN (COO)
(919) 345-9511
Entity
Organization
Contact information
Practice address
301 GLENWOOD AVE, STE 210, RALEIGH, NC 27603-2195
(919) 670-4944
Mailing address
301 GLENWOOD AVE, STE 210, RALEIGH, NC 27603-2195
(919) 670-4944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7026
NC
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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