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1134468564 — NPI 1235916636, Raleigh, NC | NPI Central

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OrganizationActive

1134468564

NPI 1235916636 · Dental Clinic/Center · Raleigh, NC

Provider details

NPI number: 1235916636
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Danesha Horton, Financial Coordinator

Practice location

7841 Alexander Promenade Pl # S100

Raleigh, NC 27617-1913

Phone: (919) 354-5400

Fax: (919) 354-5401

More NC providers

Mailing address

7841 Alexander Promenade Pl # S100

Raleigh, NC 27617-1913

Registry dates

Enumerated: 2023-09-11
Last updated: 2023-09-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.