Organization
DELMA H. KINLAW, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA SEVERT BODDORF RDH, MED. (PRACTICE MANAGER)
(919) 859-6633
Entity
Organization
Contact information
Practice address
251 KEISLER DR, SUITE 200, CARY, NC 27511-7091
(919) 859-6633
(919) 859-6644
Mailing address
251 KEISLER DRIVE, SUITE 200, CARY, NC 27518-7091
(919) 859-6633
(919) 859-6644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4916
NC
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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