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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