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Organization

DARRYL A. WARREN, DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DARRYL ALAN WARREN DDS (OWNER/OPERATOR)
(252) 633-1715
Entity
Organization

Contact information

Practice address
611 MCCARTHY BLVD, NEW BERN, NC 28562
(252) 633-1715
(252) 636-2832
Mailing address
611 MCCARTHY BLVD, NEW BERN, NC 28562
(252) 633-1715
(252) 636-2898

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
662196
TRICARE
NC
05
8998924
NC
Enumeration date
11/06/2013
Last updated
11/06/2013
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