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Henry Matthews Kidd JR., DDS
Student in an Organized Health Care Education/Training Program in Raleigh, North Carolina
NPI 1932725017

Henry Matthews Kidd JR. is a Student in an Organized Health Care Education/Training Program based in Raleigh, NC. Henry Matthews Kidd JR. practices in Raleigh, NC and has the professional credentials of DDS. The NPI Number for Henry Matthews Kidd JR. is 1932725017 and holds a License No. (North Carolina).

The current practice location address for Henry Matthews Kidd JR. is 613 Glen Eden Dr, Raleigh, NC and can be reached out via phone at 919-624-1186.

Location: 613 Glen Eden Dr, Raleigh, NC, 27612-5002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932725017
Provider Name
Henry Matthews Kidd JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
613 Glen Eden Dr, Raleigh, NC, 27612-5002
Phone Number
919-624-1186
Fax Number
Provider Enumeration Date
06/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
613 Glen Eden Dr
City
Raleigh
State
North Carolina
Zip
27612-5002
Phone Number
919-624-1186
Fax Number
person
Provider Business Mailing Address Details
Address
613 Glen Eden Dr
City
Raleigh
State
North Carolina
Zip
27612-5002
Phone Number
919-624-1186
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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