Individual
SIMRANJIT BAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 AUTUMN FERN TRL, LILLINGTON, NC 27546-5155
(252) 737-7350
Mailing address
80 AUTUMN FERN TRL, LILLINGTON, NC 27546-5155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
150956
NC
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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