| 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 |