Organization
JENNIFER LAQUAY
Active
Other names
Harmony Dental of Southport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LAQUAY DMD (DENTIST)
(910) 457-7167
Entity
Organization
Contact information
Practice address
4742 LONG BEACH RD SE, SOUTHPORT, NC 28461-8721
(910) 457-7167
(910) 457-9650
Mailing address
4742 LONG BEACH RD SE, SOUTHPORT, NC 28461-8721
(910) 457-7167
(910) 457-9650
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8320
NC
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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