THANE C. HISAW

GREENSBORO, NC
NPI1427180801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: NC  9058)
Enumeration Date2007-03-12
Last Update Date2013-06-27
Business Address
-- THANE C. HISAW DMD
504 E CORNWALLIS DR STE. #J
GREENSBORO, NC 27405-5679
Phone number: 336-378-1421
Mailing Address
-- THANE C. HISAW DMD
504 E CORNWALLIS DR STE. #J
GREENSBORO, NC 27405-5679
Phone number: 336-378-1421
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