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1932725017
HENRY MATTHEWS KIDD
RALEIGH, NC
NPI
1932725017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-06-24
Last Update Date
2021-01-21
Business Address
HENRY MATTHEWS KIDD DDS
613 GLEN EDEN DR
RALEIGH, NC 27612-5002
Phone number: 919-624-1186
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Mailing Address
HENRY MATTHEWS KIDD DDS
613 GLEN EDEN DR
RALEIGH, NC 27612-5002
Phone number:
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