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Individual

DR. DONALD RICHARD DEMICHELE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
BLDG H-3817 GRUBER RD, FORT BRAGG, NC 28310-4095
(910) 396-1572
Mailing address
13110 QUARTERHORSE RUN, ROUGEMONT, NC 27572-9342
(208) 477-3288

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11389
NC

Other

Enumeration date
07/31/2019
Last updated
03/13/2022
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