Individual
DR. JOHANNA SERLETIS IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10 SUNNYBROOK RD, CLINIC D, 2ND FLOOR, RALEIGH, NC 27610-1808
(919) 250-4616
(919) 212-9684
Mailing address
705 LAKE BOONE TRL, RALEIGH, NC 27607-6603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5182
NC
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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