Organization
SAMUEL J. DEANGELO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL JOHN DEANGELO DDS (PERIODONTIST)
(919) 467-3213
Entity
Organization
Contact information
Practice address
1142 EXECUTIVE CIR, B, CARY, NC 27511-4570
(919) 467-3213
(919) 467-3246
Mailing address
1142 EXECUTIVE CIR, B, CARY, NC 27511-4570
(919) 467-3213
(919) 467-3246
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7596
NC
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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