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1124857164
ALEXANDER DMITRY BANKETOV
FAYETTEVILLE, NC
NPI
1124857164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NC 13921)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
ALEXANDER DMITRY BANKETOV DDS
2029 VALLEYGATE DR STE 201
FAYETTEVILLE, NC 28304-3772
Phone number: 910-485-8884
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Mailing Address
ALEXANDER DMITRY BANKETOV DDS
4226 DONEGAL RD
HOPE MILLS, NC 28348-2833
Phone number:
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