GERARD R. MAGNO D.D.S. P.A. NPI 1861650079

NPI Information

GERARD R. MAGNO, D.D.S., P.A. is a dental clinic center in Raleigh, NC. GERARD R. MAGNO, D.D.S., P.A. NPI is 1861650079. The provider is registered as an organization entity type.
The provider Is Doing Business As Wakefield Dental Care.

The provider's business location address is:

2800 WAKEFIELD PINES DR
SUITE 100
RALEIGH, NC
ZIP 27614-998
Phone: (919) 570-8338

The provider's authorized official is Gerard R. Magno .
The authorized official title is President and has the following contact phone number (919) 570-8338.

The CLIA number assigned to this NPI record is 34D2053683 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2008 and was last updated on 5/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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