Individual
DANIELA VIVALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10207 CERNY ST STE 114, RALEIGH, NC 27617-4880
(919) 660-9000
Mailing address
10207 CERNY ST STE 114, RALEIGH, NC 27617-4880
(919) 660-9000
Taxonomy
Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
0225
NC
1223X2210X
Orofacial Pain Dentistry
Primary
12546
NC
390200000X
Student in an Organized Health Care Education/Training Program
151115
NC
Other
Enumeration date
07/27/2016
Last updated
07/19/2022
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