Organization · Type 2 NPI
Wake Cross Roads Dentistry
Dental Clinic/Center · Raleigh, NC
NPI number
1609076074
Active
Practice location
4008 Mitchell Mill Road, Suite 108
Raleigh, NC 27616
Fax (919) 453-0774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 7970 (NC) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1609076074
Wake Cross Roads Dentistry's National Provider Identifier is 1609076074, issued on Jul 23, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Raleigh, NC. The record was last updated on May 11, 2009.