Organization
ARTEMIS C. SCANDALIOS,DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTEMIS C SCANDALIOS DDS (DENTIST/PRESIDENT)
(919) 781-0056
Entity
Organization
Contact information
Practice address
3803-A COMPUTER DR., RALEIGH, NC 27609
(919) 781-0056
Mailing address
3803-A COMPUTER DR., RALEIGH, NC 27609
(919) 781-0056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5954
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5954
LICENSE NUMBER
NC
05
—
899758A
—
NC
Enumeration date
10/13/2006
Last updated
06/17/2008
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