Individual
LASHAWN JENAY HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3219 WATKINS RD STE 103, DURHAM, NC 27707-3331
(919) 813-2267
Mailing address
502 FONTAINE ST, REIDSVILLE, NC 27320-3108
(336) 613-4918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11396
NC
Other
Enumeration date
05/20/2019
Last updated
11/16/2023
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