| NPI | 1376963439 |
|---|---|
| Doing Business As | TRIANGLE IMPLANT CENTER GOLDSBORO |
| Entity Type | Organization |
| Authorized Contact | ANDRES F HENAO Technical Director 919-563-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-09-19 |