Organization
LEI SHI DDS PLLC
Active
Other names
Spectrum Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LEI SHI DDS (PRESIDENT)
(919) 278-7576
Entity
Organization
Contact information
Practice address
8511 CANTILEVER WAY STE 101, RALEIGH, NC 27613-6996
(919) 278-7576
Mailing address
8511 CANTILEVER WAY STE 101, RALEIGH, NC 27613-6996
(919) 278-7576
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306337282
—
NC
Enumeration date
01/03/2023
Last updated
01/03/2023
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