Organization
DAVIDIAN, PLLC
Active
Other names
Carolina Sleep Center, Carolina TMJ & Facial Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY DAVIDIAN DDS (OWNER)
(919) 301-8133
Entity
Organization
Contact information
Practice address
5904 SIX FORKS RD STE 207, RALEIGH, NC 27609-8228
(919) 301-8133
Mailing address
5904 SIX FORKS RD STE 207, RALEIGH, NC 27609-8228
(919) 301-8133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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