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1518972934
PAUL DOUGLAS NIFONG
CLEMMONS, NC
NPI
1518972934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 4520)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Dr. PAUL DOUGLAS NIFONG D.D.S.
3624 CLEMMONS RD.
CLEMMONS, NC 27012-8873
Phone number: 336-766-6457
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Mailing Address
Dr. PAUL DOUGLAS NIFONG D.D.S.
PO BOX 325
CLEMMONS, NC 27012-0325
Phone number: 336-766-6457
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