Individual
DR. PATRICK S. O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5511 RAEFORD RD, SUITE 203, FAYETTEVILLE, NC 28304-2057
(910) 485-0023
(407) 788-3572
Mailing address
5511 RAEFORD RD, SUITE 203, FAYETTEVILLE, NC 28304-2057
(910) 485-0023
(407) 788-3572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076996700
—
FL
Enumeration date
03/24/2006
Last updated
06/21/2011
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