Roy E Gaines JR. D.D.S., M.D.

NPI 1679675292 - Dentist - 1223S0112X

NPI Details
NPI 1679675292
Gender Male
Enumeration Date 09/03/2006
Last Updated 03/01/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
4201 LAKE BOONE TRL
SUITE 002
RALEIGH NC, 27607-7512, US
Phone (919) 787-3949
Fax (919) 787-7634
Business Location
4201 LAKE BOONE TRL
SUITE 002
RALEIGH NC, 27607-7512, US
Phone (919) 787-3949
Fax (919) 787-7634
Toxanomy
Taxonomy Code 1223S0112X
License State North Carolina
License Number 5589
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According to our database, Roy E Gaines JR. D.D.S., M.D. NPI is 1679675292, taxonomy code is 1223S0112X and license number is 5589, license state is located at North Carolina. Roy E Gaines JR. D.D.S., M.D. physically located at 4201 Lake Boone Trl, Raleigh NC, 27607-7512. NPI Number Roy E Gaines JR. D.D.S., M.D. has the Individual type.

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1679675292 NPI number is provided on an as is basis without warranty of any kind. 1679675292 is maintained by the National Plan & Provider Enumeration System. The contents of Roy E Gaines JR. D.D.S., M.D. are for informational purposes only.