Organization
MARY C. GADDIS, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY GADDIS DDS (OWNER DENTIST)
(919) 484-8088
Entity
Organization
Contact information
Practice address
2003 E NC HIGHWAY 54, DURHAM, NC 27713-2482
(919) 484-8088
Mailing address
2003 E NC HIGHWAY 54, DURHAM, NC 27713-2482
(919) 484-8088
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7761
NC
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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