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Organization

DINAH B VICE DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA PAULETTE JOLLY (MANAGER)
(919) 929-3996
Entity
Organization

Contact information

Practice address
1801 E FRANKLIN ST, CHAPEL HILL, NC 27514
(919) 929-3996
(919) 942-0146
Mailing address
1801 E FRANKLIN ST, CHAPEL HILL, NC 27514
(919) 929-3996
(919) 942-0146

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5428
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1083625099
INDIVIDUAL NPI
Enumeration date
01/04/2007
Last updated
08/22/2020
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