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Organization
LEI SHI DDS PLLC
Active
Organization
LEI SHI DDS PLLC
Active
Other names
Spectrum Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LEI SHI DDS (PRESIDENT)
(919) 278-7576
Entity
Organization
Contact information
Practice address
8511 CANTILEVER WAY STE 101, RALEIGH, NC 27613-6996
(919) 278-7576
Mailing address
8511 CANTILEVER WAY STE 101, RALEIGH, NC 27613-6996
(919) 278-7576
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306337282
—
NC
Enumeration date
01/03/2023
Last updated
01/03/2023
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