Individual
CHRESTENE BIBAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3101 EDWARDS MILL RD, RALEIGH, NC 27612-5303
(919) 571-0222
Mailing address
1019 COMMACK DR, DURHAM, NC 27703-6771
(646) 258-6357
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13065
NC
1223G0001X
General Practice Dentistry
Primary
059361
NY
1223G0001X
General Practice Dentistry
22DI02689400
NJ
Other
Enumeration date
04/24/2016
Last updated
11/30/2022
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