Individual
AHMED ADEL MOHAMED FATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9425 NC-305, JACKSON, NC 27845
(252) 534-1661
Mailing address
203 RAVENSTONE DR, CARY, NC 27518-9066
(617) 636-6828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14440
NC
Other
Enumeration date
10/15/2024
Last updated
10/09/2025
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