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1992366520
LUIS FERNANDO GAMBOA
RALEIGH, NC
NPI
1992366520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 11701)
Enumeration Date
2019-06-25
Last Update Date
2024-12-03
Business Address
LUIS FERNANDO GAMBOA DMD
3110 NEW BERN AVE STE 102
RALEIGH, NC 27610-1200
Phone number: 984-242-0568
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Mailing Address
LUIS FERNANDO GAMBOA DMD
3110 NEW BERN AVE STE 102
RALEIGH, NC 27610-1200
Phone number: 984-242-0568
Copy
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