Organization
REEBYE PARK & RICHMAN DDS PLC
Active
Other names
Triangle Implant Center Wilson
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES F HENAO (TECHNICAL DIRECTOR)
(919) 563-2897
Entity
Organization
Contact information
Practice address
1706 MEDICAL PARK DR W, WILSON, NC 27893
(252) 243-3223
Mailing address
1706 MEDICAL PARK DR W, WILSON, NC 27893-2705
(252) 243-3223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
04/16/2014
Last updated
09/19/2023
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