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Individual

DR. REINALDO LASANTA-GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3622 SHANNON RD STE 101, DURHAM, NC 27707-3771
(919) 213-0505
(919) 213-0505
Mailing address
PO BOX 952066, CLEVELAND, OH 44193-0051
(919) 213-0505
(919) 213-0505

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
018001733
IL
1223G0001X
General Practice Dentistry
019.028164
IL
1223G0001X
General Practice Dentistry
Primary
9082
NC
1223G0001X
General Practice Dentistry
DN22426
FL

Other

Enumeration date
08/05/2009
Last updated
03/23/2026
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