Individual
TRAM LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6238 ARDENNES ST, FORT LIBERTY, NC 28307
(910) 432-4821
Mailing address
10 FENTON MAIN ST APT 633, CARY, NC 27511-7834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13904425-9926
UT
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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