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Individual

DR. ANNIE PHILIP MATHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
7780 BRIER CREEK PARKWAY, SUITE 220, RALEIGH, NC 27617-7316
(919) 786-7443
Mailing address
12309 RICHMOND RUN DR, RALEIGH, NC 27614-6413
(919) 562-8679

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
045082
NY
1223G0001X
General Practice Dentistry
22DI02227600
NJ
1223G0001X
General Practice Dentistry
Primary
7741
NC

Other

Enumeration date
08/09/2006
Last updated
07/08/2007
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