Individual
DR. DIEDRA S. MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1001 WIDEWATERS PKWY, KNIGHTDALE, NC 27545-6102
(919) 266-6999
Mailing address
1036 PRAIRIE ASTER CT, WAKE FOREST, NC 27587-6169
(914) 419-3298
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11683
NC
Other
Enumeration date
02/05/2006
Last updated
05/16/2024
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