Organization
EILEEN WANG REIDSVILLE PLLC
Active
Other names
Southwood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIAOJUN WANG DDS (OWNER)
(919) 951-8022
Entity
Organization
Contact information
Practice address
207 TURNER DR, REIDSVILLE, NC 27320-5726
(919) 489-8820
Mailing address
4300 GARRETT RD STE D, DURHAM, NC 27707-3487
(919) 489-8820
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8191
NC
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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