Organization
SOUTH WAKE ORAL SURGERY & DENTAL IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J. MAHAR (ORAL SURGEON)
(919) 567-3293
Entity
Organization
Contact information
Practice address
6009 DWIGHT ROWLAND RD, FUQUAY VARINA, NC 27526-7204
(919) 567-3293
Mailing address
508 CHRISMILL LN, HOLLY SPRINGS, NC 27540-8290
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8240
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905811
—
NC
Enumeration date
03/05/2008
Last updated
03/05/2008
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