Individual
LAURA ANN AZZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 GREENFIELD ST, WILMINGTON, NC 28401-6455
(910) 342-9210
Mailing address
6522 OLD FORT RD, WILMINGTON, NC 28411-4764
(919) 619-4761
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9735
NC
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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