Organization
WAKE FOREST AMBULATORY VENTURES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE DUNSTON (ADMINISTRATOR)
(336) 716-3335
Entity
Organization
Contact information
Practice address
6441 KINNAMON CT, WINSTON-SALEM, NC 27103
(833) 283-5487
Mailing address
6441 KINNAMON CT, WINSTON SALEM, NC 27103-9819
(833) 283-5487
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
09/29/2025
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