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Organization
EILEEN WANG REIDSVILLE PLLC
Active
Organization
EILEEN WANG REIDSVILLE PLLC
Active
Other names
Southwood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIAOJUN WANG DDS (OWNER)
(919) 951-8022
Entity
Organization
Contact information
Practice address
207 TURNER DR, REIDSVILLE, NC 27320-5726
(919) 489-8820
Mailing address
4300 GARRETT RD STE D, DURHAM, NC 27707-3487
(919) 489-8820
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8191
NC
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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