Individual
DR. LAETITIA IFEYINWA SERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8474
NC
1223P0221X
Pediatric Dentistry
Primary
8474
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8474
NC STATE BOARD
NC
Enumeration date
02/21/2007
Last updated
11/30/2014
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