Male or Other

Dr. Otis R. Washington D.D.S.,M.S.

Periodontist in Raleigh, NC(View on Map)

Full Name

Dr. Otis Riley Washington D.D.S.,M.S.

NPI Number

1770640732

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/02/2007

Specialties

(Taxonomies)

Code

1223P0300X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

5884

Contact
Information

Purpose

Mailing
Location

Address

2310 MYRON DR
2310 MYRON DR

City

Raleigh
Raleigh

State

NC
NC

Postal Code

27607-3358
27607-3358

Country

US
US

Telephone Number

(919) 782-9536
(919) 782-9536

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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