| Melissa C. Davidian, Dds/davidian Family And Cosmetic Dentistry | |
|
12740 Spruce Tree Way Suite 104 Raleigh NC 27614-8295 | |
| (919) 562-2345 | |
| (919) 562-2365 |
| Full Name | Melissa C. Davidian, Dds/davidian Family And Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12740 Spruce Tree Way, Raleigh, North Carolina |
| Authorized Official Name and Position | Melissa C. Davidian (DENTIST, OWNER) |
| Authorized Official Contact | 9195622345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa C. Davidian, Dds/davidian Family And Cosmetic Dentistry 12740 Spruce Tree Way Suite 104 Raleigh NC 27614-8295 Ph: (919) 562-2345 | Melissa C. Davidian, Dds/davidian Family And Cosmetic Dentistry 12740 Spruce Tree Way Suite 104 Raleigh NC 27614-8295 Ph: (919) 562-2345 |
| NPI Number | 1578720892 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578720892 | NPI | - | NPPES |
| 1215088133 | Other | NC | INDIVIDUAL IPN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7060 (North Carolina) | Primary |
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