Individual
DR. DARRYL JAMES DIEFES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
904 SPIVEY RD, WHITEVILLE, NC 28472-2915
(910) 642-6500
(910) 642-7581
Mailing address
904 SPIVEY RD, WHITEVILLE, NC 28472-2915
(910) 642-6500
(910) 642-7581
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8992153
—
NC
Enumeration date
08/07/2008
Last updated
08/07/2008
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