| NPI | 1639450869 |
|---|---|
| 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 |
| Additional Taxonomies | 122300000X Dentist |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NC 7381) | |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2023-09-26 |