Individual
JUSTIN MICHAEL RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 OLEANDER DR, CLAYTON, NC 27527-4561
(919) 879-2133
Mailing address
313 RIVERWOOD DR, CLAYTON, NC 27527-5516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10981
NC
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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