Organization
PRIVATE DIAGNOSTIC CLINIC PLLC
Active
Parent organization
DUKE PEDIATRIC DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUKE PEDIATRIC DENTISTRY
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization
Contact information
Practice address
2711 N DUKE ST, SUITE A, DURHAM, NC 27704-2619
(919) 220-1416
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
07/11/2022
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