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Organization

K. KEVIN NESHAT, DDS, MD, PA

Active
Other names
PreservEndo
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA BOHNE (DIRECTOR OF RCM)
(984) 308-0506
Entity
Organization

Contact information

Practice address
610 DR CALVIN JONES HWY STE 100, WAKE FOREST, NC 27587-3104
(919) 336-5230
Mailing address
610 DR CALVIN JONES HWY STE 100, WAKE FOREST, NC 27587-3104
(919) 336-5230

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
06/21/2023
Last updated
12/23/2024
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