Organization
JAVERIA NASIR DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVERIA NASIR DDS (OWNER)
(202) 361-6670
Entity
Organization
Contact information
Practice address
1241 FANNING DR, WAKE FOREST, NC 27587-5088
(202) 361-6670
Mailing address
1241 FANNING DRIVE, WAKE FOREST, NC 27587
(202) 361-6670
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
10126
NC
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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