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Organization

GARY D OYSTER DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY DONALD OYSTER DDS (GENERAL DENTIST OWNER)
(919) 876-2087
Entity
Organization

Contact information

Practice address
4901 LEIGH DRIVE, RALEIGH, NC 27616
(919) 876-2087
(919) 981-0382
Mailing address
4901 LEIGH DRIVE, RALEIGH, NC 27616
(919) 876-2087
(919) 981-0382

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3817
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
419149
UNITED CONCORDIA
05
8996572
NC
Enumeration date
11/16/2006
Last updated
10/05/2011
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