Individual
SUREN PARAVYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD, MSD
Contact information
Practice address
572 SANDHURST DR., FAYETTEVILLE, NC 28304-4426
(910) 485-3636
(910) 222-9401
Mailing address
572 SANDHURST DR., FAYETTEVILLE, NC 28304-4426
(910) 485-3636
(910) 222-9401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0442000101
VA
122300000X
Dentist
9131
NC
1223E0200X
Endodontics
Primary
9131
NC
Other
Enumeration date
08/25/2009
Last updated
03/28/2022
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