Organization
KEVIN CHIDESTER, D.M.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN CHIDESTER (MANAGING MEMBER)
(978) 254-1322
Entity
Organization
Contact information
Practice address
6807 KNIGHTDALE BLVD STE E&F, KNIGHTDALE, NC 27545-6562
(978) 254-1322
Mailing address
3012 BETHWICKE CT, RALEIGH, NC 27604-4964
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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