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Organization

1134468564

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANESHA Y HORTON (FINANCIAL COORDINATOR)
(919) 354-5400
Entity
Organization

Contact information

Practice address
7841 ALEXANDER PROMENADE PL # S100, RALEIGH, NC 27617-1913
(919) 354-5400
(919) 354-5401
Mailing address
7841 ALEXANDER PROMENADE PL # S100, RALEIGH, NC 27617-1913
(919) 354-5400
(919) 354-5401

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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