Organization
SURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UDAY N REEBYE (OWNER)
(919) 932-4425
Entity
Organization
Contact information
Practice address
2620 NEW BERN AVE, RALEIGH, NC 27610-1821
(919) 225-6899
Mailing address
9650 STRICKLAND RD, SUITE 103-177, RALEIGH, NC 27615-1902
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
812162341
NC
Other
Enumeration date
04/26/2017
Last updated
08/11/2020
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