Individual
CAROLYN GRACE LEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
124 BAYWOOD RD STE 100, FAYETTEVILLE, NC 28312-9136
(910) 829-0220
Mailing address
2650 LATROBE AVE APT 19, FAYETTEVILLE, NC 28304-5072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12920
NC
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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