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Organization
JAYNE E KALU DMD PA
Active
Organization
JAYNE E KALU DMD PA
Active
Other names
Jayne E Codjoe DMD PA, New World Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYNE EBERECHUKWU KALU DMD (PRESIDENT OWNER)
(347) 534-7416
Entity
Organization
Contact information
Practice address
4995 WEDDINGTON ROAD NW, SUITE 40, CONCORD, NC 28027-0042
(704) 918-5560
(980) 223-6905
Mailing address
PO BOX 620304, CHARLOTTE, NC 28262-0105
(704) 918-5560
(980) 223-6905
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9616
NC
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639304892
NPI TYPE I
—
Enumeration date
09/23/2016
Last updated
02/07/2022
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