KUMJOHN TANVISHUT

GREENSBORO, NC
NPI1598913006
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NC  8689)
Enumeration Date2008-09-09
Last Update Date2008-09-09
Business Address
-- KUMJOHN TANVISHUT DDS
5923 W FRIENDLY AVE
GREENSBORO, NC 27410-3207
Phone number: 336-632-0744
Mailing Address
-- KUMJOHN TANVISHUT DDS
PO BOX 2222
LILLINGTON, NC 27546-2222
Phone number: 910-893-1096
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