Individual
DR. DIRK JEREMY VICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1009 SPRING FOREST RD, RALEIGH, NC 27615-5833
(919) 878-0055
Mailing address
1220 HIGH GLENN POINT, RALEIGH, NC 27614
(919) 844-5576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7662
NC
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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