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Organization

K. KEVIN NESHAT, DDS, MD, PA

Active
Parent organization
K. KEVIN NESHAT, DDS, MD, PA
Other names
Wendell Family Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
K. KEVIN NESHAT, DDS, MD, PA
Authorized official
GLORIA BOHNE (DIRECTOR OF RCM)
(984) 308-0506
Entity
Organization

Contact information

Practice address
3200 WENDELL BLVD, WENDELL, NC 27591-5908
(919) 365-3127
Mailing address
3200 WENDELL BLVD, WENDELL, NC 27591-5908
(919) 365-3127

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/12/2024
Last updated
01/12/2024
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