Individual
DR. LISA ASCOLESE BUFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3386 SIX FORKS RD, RALEIGH, NC 27609-7233
(919) 781-2234
(919) 781-1642
Mailing address
3386 SIX FORKS RD, RALEIGH, NC 27609-7233
(919) 781-2234
(919) 781-1642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6803
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899007N
—
NC
Enumeration date
07/25/2006
Last updated
07/08/2007
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