Organization
CARL A. GENTRY, DDS. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL GENTRY DDS (OWNER)
(910) 438-9301
Entity
Organization
Contact information
Practice address
3055 SANDEROSA RD, FAYETTEVILLE, NC 28312-9109
(910) 438-9301
(910) 438-9303
Mailing address
3055 SANDEROSA RD, FAYETTEVILLE, NC 28312-9109
(910) 438-9301
(910) 438-9303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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