Organization
EVA Y. KU, DMD, PC
Active
Other names
Blue Ridge Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
EVA Y. KU DMD (PRESIDENT)
(919) 475-0602
Entity
Organization
Contact information
Practice address
2801 BLUE RIDGE RD STE G10, RALEIGH, NC 27607-6474
(919) 781-3862
Mailing address
206 AMIABLE LOOP, CARY, NC 27519-5579
(919) 475-0602
(919) 869-2351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8718
NC
Other
Enumeration date
03/31/2012
Last updated
03/31/2012
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