Organization
ANGIER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA GONG (OFFICE MANAGER)
(919) 538-2298
Entity
Organization
Contact information
Practice address
12 N BROAD ST E, ANGIER, NC 27501-8964
(919) 639-2663
Mailing address
12 N BROAD ST E, ANGIER, NC 27501-8964
(919) 639-2663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7277
NC
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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