Organization
MELISSA C. DAVIDIAN, DDS/DAVIDIAN FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA C. DAVIDIAN DDS (DENTIST, OWNER)
(919) 562-2345
Entity
Organization
Contact information
Practice address
12740 SPRUCE TREE WAY, SUITE 104, RALEIGH, NC 27614-8295
(919) 562-2345
(919) 562-2365
Mailing address
12740 SPRUCE TREE WAY, SUITE 104, RALEIGH, NC 27614-8295
(919) 562-2345
(919) 562-2365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7060
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215088133
INDIVIDUAL IPN #
NC
Enumeration date
05/22/2008
Last updated
05/22/2008
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