Organization
DIPTI MATHUR DDS PLLC
Active
Other names
Middlecreek Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIPTI CHANDRA MATHUR DDS (DENTIST)
(412) 605-4841
Entity
Organization
Contact information
Practice address
7283 NC HIGHWAY 42 STE 101, RALEIGH, NC 27603-7530
(919) 424-7203
Mailing address
1708 WALDEN MEADOW DR, APEX, NC 27523-4823
(412) 605-4841
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215343223
—
NC
Enumeration date
12/08/2022
Last updated
12/14/2022
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