Organization
DR. NICOLE LECANN D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LECANN D.D.S. (OWNER)
(919) 789-8682
Entity
Organization
Contact information
Practice address
4814 SIX FORKS RD, SUITE 102, RALEIGH, NC 27609-5246
(919) 789-8682
(919) 789-3338
Mailing address
4814 SIX FORKS RD, SUITE 102, RALEIGH, NC 27609-5246
(919) 789-8682
(919) 789-3338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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