Individual
NEIZEL SONGALIA DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2831 MIDWAY RD SE STE 116, BOLIVIA, NC 28422-8377
(910) 408-4436
Mailing address
103 BLACKGUM CT, MAULDIN, SC 29662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11662
NC
Other
Enumeration date
02/24/2017
Last updated
08/06/2024
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