Organization
NORTH DURHAM ORTHODONTICS
Active
Organization
NORTH DURHAM ORTHODONTICS
Active
Other names
Gina Lee, DDS, MDS, PA II
Organization subpart
No
Provider details
NPI number
Authorized official
RIZANNE ICASIANO (OFFICE MANAGER)
(919) 544-9700
Entity
Organization
Contact information
Practice address
4301 BEN FRANKLIN BLVD, SUITE 201, DURHAM, NC 27704-2145
(919) 797-2300
(919) 797-2301
Mailing address
4301 BEN FRANKLIN BLVD, SUITE 201, DURHAM, NC 27704-2145
(919) 797-2300
(919) 797-2301
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8083
NC
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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