Individual
DR. OTIS RILEY WASHINGTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
2310 MYRON DR, RALEIGH, NC 27607-3358
(919) 782-9536
(919) 782-9962
Mailing address
2310 MYRON DR, RALEIGH, NC 27607-3358
(919) 782-9536
(919) 782-9962
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5884
NC
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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