CHARLES RANDALL MACON

RALEIGH, NC
NPI1285657510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NC  6058)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
-- CHARLES RANDALL MACON DDS
7200 STONEHENGE DR SUITE 102
RALEIGH, NC 27613-1620
Phone number: 919-848-1882
Mailing Address
-- CHARLES RANDALL MACON DDS
7200 STONEHENGE DR SUITE 102
RALEIGH, NC 27613-1620
Phone number: 919-848-1882
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