is a Dental in Winston Salem, North Carolina. practices all healthcare services and medical treatments related to Dental. The NPI Number for is 1801053475. The last update date is .
's current location address is 3809 Forrestgate Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3367689010 and fax number 3367689011. The mailing address for is 3809 Forrestgate Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3809 Forrestgate Dr, Winston Salem, North Carolina |
| Phone Number | 3367689010 |
| Fax Number | 3367689011 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1801053475 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3809 Forrestgate Dr |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271032982 |
| Phone Number | 3367689010 |
| Fax Number | 3367689011 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 3599 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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