Individual
LIJI JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1600 CROSS LINK RD STE 103-104, RALEIGH, NC 27610-1089
(773) 456-7071
Mailing address
1600 CROSS LINK RD, RALEIGH, NC 27610-1089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11956
NC
Other
Enumeration date
07/27/2020
Last updated
09/29/2020
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