Organization
CLIFTON S. CAMERON DDS II-LEESVILLE, PLLC
Active
Other names
Vista Oral Surgery and Implants - Raleigh
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA R (CREDENTIALING SPECIALIST)
(202) 630-3939
Entity
Organization
Contact information
Practice address
9305 LEESVILLE RD STE 102, RALEIGH, NC 27613-7603
(919) 964-2722
Mailing address
9305 LEESVILLE RD STE 102, RALEIGH, NC 27613-7603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
02/06/2025
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