Organization
DISDIER & ASSOCIATES,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DISDIER (DENTIST)
(919) 583-0102
Entity
Organization
Contact information
Practice address
1208 E ASH ST, GOLDSBORO, NC 27530-5104
(919) 583-0102
Mailing address
1208 E ASH ST, GOLDSBORO, NC 27530-5104
(919) 583-0102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6975
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903554
—
NC
Enumeration date
02/14/2007
Last updated
08/22/2020
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