Organization
REEBYE PARK & RICHMAN DDS PLC
Active
Parent organization
REEBYE PARK & RICHMAN DDS PLC
Other names
Triangle Implant Center Greensboro
Organization subpart
Yes
Provider details
NPI number
Legal business name
REEBYE PARK & RICHMAN DDS PLC
Authorized official
ANDRES F HENAO (TECHNICAL DIRECTOR)
(919) 563-2897
Entity
Organization
Contact information
Practice address
200 E WENDOVER AVE, GREENSBORO, NC 27401
(336) 272-4583
(336) 542-5164
Mailing address
1107 S FIFTH ST STE 250, MEBANE, NC 27302-9896
(919) 563-2897
(919) 563-2876
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
8976
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NC
Other
Enumeration date
05/25/2018
Last updated
03/09/2023
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