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Organization
JIM LU AND SHANE LU DDS PLLC
Active
Organization
JIM LU AND SHANE LU DDS PLLC
Active
Other names
Burlington Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM LU DDS (OWNER)
(706) 254-4191
Entity
Organization
Contact information
Practice address
2430 S CHURCH ST STE B, BURLINGTON, NC 27215
(336) 639-7101
Mailing address
322 S DAVIE ST APT 208, GREENSBORO, NC 27401-2856
(706) 254-4191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10319
NC
1223G0001X
General Practice Dentistry
9969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922486703
—
NC
05
—
1952719353
—
NC
Enumeration date
07/30/2018
Last updated
07/30/2018
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