Organization
FALLS FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA K THORE DMD (OWNER)
(919) 659-0015
Entity
Organization
Contact information
Practice address
10450 DURANT RD, SUITE 102, RALEIGH, NC 27614-6498
(919) 659-0015
(919) 703-0563
Mailing address
10450 DURANT RD, SUITE 102, RALEIGH, NC 27614-6498
(919) 659-0015
(919) 703-0563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5927
NC
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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