| Louisburg Family Dentistry | |
|
109 Jolly St Louisburg NC 27549-2239 | |
| (919) 496-5734 | |
| (919) 496-2599 |
| Full Name | Louisburg Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 Jolly St, Louisburg, North Carolina |
| Authorized Official Name and Position | Donghoon Lee (PRESIDENT) |
| Authorized Official Contact | 9194965734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisburg Family Dentistry 109 Jolly St Louisburg NC 27549-2239 Ph: (919) 496-5734 | Louisburg Family Dentistry 109 Jolly St Louisburg NC 27549-2239 Ph: (919) 496-5734 |
| NPI Number | 1164833620 |
|---|---|
| Provider Enumeration Date | 05/17/2014 |
| Last Update Date | 05/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164833620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | NC 9417 (North Carolina) | Primary |
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