Individual
MAYADA KHIDR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 UNIVERSITY DR STE 109, DURHAM, NC 27707-2533
(919) 294-4234
Mailing address
4201 UNIVERSITY DR STE 109, DURHAM, NC 27707-2533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9523
NC
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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