| Willowdaile Family Dentistry | |
|
3823 Guess Rd Suite P Durham NC 27705-1505 | |
| (919) 479-5800 | |
| (919) 620-9244 |
| Full Name | Willowdaile Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3823 Guess Rd, Durham, North Carolina |
| Authorized Official Name and Position | Debora A Bolton (DENTIST) |
| Authorized Official Contact | 9194795800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willowdaile Family Dentistry 3823 Guess Rd Suite P Durham NC 27705-1505 Ph: (919) 479-5800 | Willowdaile Family Dentistry 3823 Guess Rd Suite P Durham NC 27705-1505 Ph: (919) 479-5800 |
| NPI Number | 1104007996 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104007996 | NPI | - | NPPES |
| 5900493 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7251 (North Carolina) | Primary |
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