Individual
MR. HARDING EVERETTE DOUGLAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4325 LAKE BOONE TRAIL, SUITE 214, RALEIGH, NC 27607
(919) 782-1151
(919) 782-1063
Mailing address
4325 LAKE BOONE TRAIL, SUITE 214, RALEIGH, NC 27607
(919) 782-1151
(919) 782-1063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4760
NC
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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