Organization
GERARD R. MAGNO, D.D.S., P.A.
Active
Other names
Wakefield Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD R. MAGNO D.D.S. (PRESIDENT)
(919) 570-8338
Entity
Organization
Contact information
Practice address
2800 WAKEFIELD PINES DR, SUITE 100, RALEIGH, NC 27614-8998
(919) 570-8338
Mailing address
2800 WAKEFIELD PINES DR, SUITE 100, RALEIGH, NC 27614-8998
(919) 570-8338
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2008
Last updated
05/26/2008
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