Organization
CLIFTON S. CAMERON, D.D.S. III - LEESVILLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA RAMIREZ (CREDENTIALING SPECIALIST)
(301) 202-4724
Entity
Organization
Contact information
Practice address
9305 LEESVILLE RD STE 202, RALEIGH, NC 27613-7603
(910) 260-5296
Mailing address
9305 LEESVILLE RD STE 102, RALEIGH, NC 27613-7603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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