Individual
DR. OMAR R PAREDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 MOYE BLVD, FAMILY MEDICINE DENTAL CLINIC, GREENVILLE, NC 27834
(252) 744-4618
(252) 744-2827
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3258
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0062
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903390
—
NC
Enumeration date
07/08/2006
Last updated
07/22/2008
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