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Individual

CHARLES FERZLI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
915 KILDAIRE FARM RD, SUITE 7, CARY, NC 27511-3936
(919) 462-3350
Mailing address
2504 BROOK CROSSING CIR, RALEIGH, NC 27606-3169
(919) 462-3350

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6668
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50844-1
UHC PROVIDER NO.
NC
05
89902F4
NC
01
902F4
BCBS OF NC
NC
Enumeration date
04/26/2006
Last updated
07/08/2007
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