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NPI 1780431791

IndividualActive

Diane Medaris, RDH

NPI 1780431791 · Dental Hygienist · Ft Liberty, NC

Provider details

NPI number: 1780431791
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Credential: RDH
Sex: Female
Sole proprietor: Yes
License: 7604 (NC)

Practice location

6238 Ardennes St

Ft Liberty, NC 28307

Phone: (910) 432-4821

More NC providers

Mailing address

328 Derby Ln

Hope Mills, NC 28348-7556

Registry dates

Enumerated: 2024-05-06
Last updated: 2024-05-06

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

Diane Medaris, RDH — NPI 1780431791, Ft Liberty, NC | NPI Central