Individual
DIYORA AMANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2800 WAKEFIELD PINES DR STE 110, RALEIGH, NC 27614-8597
(919) 570-0280
Mailing address
2800 WAKEFIELD PINES DR STE 110, RALEIGH, NC 27614-8597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
36218
TX
1223P0221X
Pediatric Dentistry
Primary
13181
NC
Other
Enumeration date
07/08/2020
Last updated
09/01/2025
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