Organization
REEBYE, PARK & RICHMAN DDS PLC
Active
Parent organization
REEBYE, PARK & RICHMAN DDS PLC
Other names
Triangle Implant Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
REEBYE, PARK & RICHMAN DDS PLC
Authorized official
ANDRES F. HENAO (TECHNICAL DIRECTOR)
(919) 563-2897
Entity
Organization
Contact information
Practice address
5318 NC HIGHWAY 55 SUITE 106, DURHAM, NC 27713
(919) 806-2912
(919) 806-2915
Mailing address
5318 NC HIGHWAY 55 SUITE 106, DURHAM, NC 27713
(919) 806-2912
(919) 806-2915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7381
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918592
—
NC
Enumeration date
09/01/2011
Last updated
09/26/2023
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