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Organization

LISA JO ADORNETTO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA JO ADORNETTO DDS (DENTIST)
(336) 288-9878
Entity
Organization

Contact information

Practice address
3861 BATTLEGROUND AVE, GREENSBORO, NC 27410-9438
(336) 855-7182
Mailing address
3861 BATTLEGROUND AVE, GREENSBORO, NC 27410-9438
(336) 855-7182

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1548274269
NPI TYPE 1
NC
Enumeration date
05/03/2007
Last updated
12/23/2009
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