Organization
H.E. DOUGLAS, JR., DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARDING EVERETTE DOUGLAS DDS (OWNER)
(919) 782-1151
Entity
Organization
Contact information
Practice address
4325 LAKE BOONE TRL, SUITE 214, RALEIGH, NC 27607-7509
(919) 782-1151
(919) 782-1163
Mailing address
4325 LAKE BOONE TRL, SUITE 214, RALEIGH, NC 27607-7509
(919) 782-1151
(919) 782-1163
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4760
NC
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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