Organization
MATILDA DHIMA DMD,MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATILDA DHIMA DMD,MS (MANAGER)
(215) 459-0600
Entity
Organization
Contact information
Practice address
5638 NC HIGHWAY 42 W STE 111, GARNER, NC 27529-7998
(984) 677-2020
Mailing address
2054 KILDAIRE FARM RD # 425, CARY, NC 27518-6614
(984) 677-2020
(984) 677-1010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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