Organization
NORTH CAROLINA ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN TUINEI (CREDENTIALING MANAGER)
(602) 750-6897
Entity
Organization
Contact information
Practice address
8320 LITCHFORD RD STE 158, RALEIGH, NC 27615-2465
(919) 813-7800
Mailing address
8320 LITCHFORD RD STE 158, RALEIGH, NC 27615-2465
(919) 813-7800
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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