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1427180801
THANE C. HISAW
GREENSBORO, NC
NPI
1427180801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
(Licence: NC 9058)
Enumeration Date
2007-03-12
Last Update Date
2013-06-27
Business Address
THANE C. HISAW DMD
504 E CORNWALLIS DR STE. #J
GREENSBORO, NC 27405-5679
Phone number: 336-378-1421
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Mailing Address
THANE C. HISAW DMD
504 E CORNWALLIS DR STE. #J
GREENSBORO, NC 27405-5679
Phone number: 336-378-1421
Copy
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