Individual
JAMAL BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4000
Mailing address
3711 OLYMPIA DR, RALEIGH, NC 27603-3460
(336) 588-6096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN015731
GA
1223G0001X
General Practice Dentistry
Primary
12167
NC
Other
Enumeration date
07/30/2018
Last updated
09/14/2022
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