NPI | 1508158940 |
---|---|
Doing Business As | TRIANGLE IMPLANT CENTER |
Entity Type | Organization |
Authorized Contact | ANDRES F HENAO Technical Director 919-563-2897 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NC 7381) |
Additional Taxonomies | 1223G0001X Dentist General Practice |
125Q00000X Oral Medicinist | |
Enumeration Date | 2011-05-04 |
Last Update Date | 2023-10-12 |