| NPI | 1124116918 |
|---|---|
| Doing Business As | DBA: RALEIGH PERIODONTICS & IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHERYL A MADSON Office Manager 919-846-2480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NC 5218) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-02-29 |