| Spouh DDS PLLC | |
|
12612 Capital Blvd Ste 100 Wake Forest NC 27587 | |
| (919) 435-3314 | |
| Not Available |
| Full Name | Spouh DDS PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12612 Capital Blvd Ste 100, Wake Forest, North Carolina |
| Authorized Official Name and Position | Mohammad Spouh (OWNER) |
| Authorized Official Contact | 9194353314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spouh DDS PLLC Po Box 70887 Cleveland OH 44190-0887 | Spouh DDS PLLC 12612 Capital Blvd Ste 100 Wake Forest NC 27587 Ph: (919) 435-3314 |
| NPI Number | 1407432792 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407432792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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