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Organization

ABERNETHYSONNERWELLS PLLC

Active
Other names
Renaissance Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANITA WELLS DDS (DENTIST)
(919) 786-6766
Entity
Organization

Contact information

Practice address
3803 COMPUTER DR, RALEIGH, NC 27609-6541
(919) 786-6766
Mailing address
3803 COMPUTER DR, RALEIGH, NC 27609-6541
(919) 786-6766

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7461
NC
261QD0000X
Dental Clinic/Center
7853
NC
261QD0000X
Dental Clinic/Center
7945
NC

Other

Enumeration date
02/26/2009
Last updated
02/26/2009
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