Individual
MS. ELISE IMANI PHINAZEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1011 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(191) 983-3311
Mailing address
4516 CAPEFIELD DR, WAKE FOREST, NC 27587-3456
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
14202
NC
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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