Organization
LUKE K. DALZELL, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUKE K. DALZELL D.D.S. (ENDODONTIST/OWNER)
(706) 604-9144
Entity
Organization
Contact information
Practice address
5710 SIX FORKS RD, STE 101, RALEIGH, NC 27609-8617
(706) 604-9144
Mailing address
5710 SIX FORKS RD, STE 101, RALEIGH, NC 27609-8617
(706) 604-9144
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9892
NC
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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