Organization
SANDRA BARLOW DOONQUAH, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA BARLOW DOONQUAH DDS (OWNER)
(336) 394-4191
Entity
Organization
Contact information
Practice address
2509 RICHARDSON DR, SUITE B, REIDSVILLE, NC 27320-5900
(336) 394-4191
Mailing address
306 LAKEWALK DR, REIDSVILLE, NC 27320-9608
(336) 394-4191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8804
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902H6
—
NC
Enumeration date
05/14/2011
Last updated
05/14/2011
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