| NPI | 1669892725 |
|---|---|
| Doing Business As | TRIANGLE IMPLANT CENTER WILSON |
| Entity Type | Organization |
| Authorized Contact | ANDRES F HENAO Technical Director 919-563-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-09-19 |