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Individual

DR. REID HUNTER BROGDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
1144 EXECUTIVE CIR, CARY, NC 27511-4573
(919) 467-2419
Mailing address
1144 EXECUTIVE CIR, CARY, NC 27511-4573
(919) 467-2419

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6799
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6799
NC STATE DENTAL LICENSE
NC
Enumeration date
11/08/2006
Last updated
07/08/2007
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