Organization
KAISER FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY KAISER DDS (OWNER)
(919) 571-2484
Entity
Organization
Contact information
Practice address
6101 GRACE PARK DR, MORRISVILLE, NC 27560-6003
(919) 571-2484
Mailing address
6101 GRACE PARK DR, MORRISVILLE, NC 27560-6003
(919) 571-2484
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9365
NC
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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