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Individual

DR. BURRELL EDMOND KANOY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, M.A.

Contact information

Practice address
3400 CROASDAILE DR, SUITE 209, DURHAM, NC 27705-6815
(919) 383-7020
(919) 383-3141
Mailing address
3400 CROASDAILE DR, SUITE 209, DURHAM, NC 27705-6815
(919) 383-7020
(919) 383-3141

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4500
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8994772
NC
Enumeration date
03/16/2007
Last updated
03/17/2010
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