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Organization

ADVANCED FACIAL SURGERY

Active
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Organization

ADVANCED FACIAL SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIN LAM MD (PRESIDENT)
(704) 839-0535
Entity
Organization

Contact information

Practice address
5427 NC 49 S, SUITE 104, HARRISBURG, NC 28075
(704) 839-0535
(704) 839-0549
Mailing address
301 INDIAN TRAIL RD S, INDIAN TRAIL, NC 28079
(704) 839-0535
(704) 839-0549

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
207L00000X
Anesthesiology Physician

Other

Enumeration date
04/01/2022
Last updated
04/01/2022
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