Organization
JOSE CANGAS DDS PLLC
Active
Other names
Dental Derby
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ALBERTO CANGAS DDS (OWNER)
(214) 830-9332
Entity
Organization
Contact information
Practice address
10564 S US HIGHWAY 15 501 STE E, SOUTHERN PINES, NC 28387-5166
(214) 830-9332
Mailing address
10564 S US HIGHWAY 15 501 STE E, SOUTHERN PINES, NC 28387-5166
(214) 830-9332
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9374
NC
Other
Enumeration date
07/19/2014
Last updated
07/19/2014
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