Organization
LEESVILLE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLE YOUNGER D.D.S. (OWNER/DENTIST)
(919) 890-5147
Entity
Organization
Contact information
Practice address
13220 STRICKLAND RD, SUITE 166, RALEIGH, NC 27613-5213
(919) 890-5147
Mailing address
13220 STRICKLAND RD, SUITE 166, RALEIGH, NC 27613-5213
(919) 890-5147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8828
NC
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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