Individual
MRS. BRIANA LEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1916 SKIBO RD STE C3, FAYETTEVILLE, NC 28314-1500
(910) 484-5141
Mailing address
1916 SKIBO RD STE C3, FAYETTEVILLE, NC 28314-1500
(910) 484-5141
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12481
NORTH CAROLINA DENTAL HYGIENE LICENSE
NC
01
—
21146794
NC DRIVERS LICENSE
NC
Enumeration date
11/30/2020
Last updated
12/01/2020
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