Individual
EDWARD GEORGE GEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 NEILL LN, EAST BEND, NC 27018
(336) 699-8001
(336) 699-5030
Mailing address
PO BOX 130, 201 NEILL LANE, EAST BEND, NC 27018
(336) 699-4327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC5590
NC
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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