| NPI | 1104317163 |
|---|---|
| Doing Business As | TRIANGLE IMPLANT CENTER GREENSBORO |
| Entity Type | Organization |
| Authorized Contact | ANDRES F HENAO Technical Director 919-563-2897 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NC 8976) | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2023-03-09 |