Samuel G Koonce JR. D.D.S.

NPI 1720121718 - Dentist - 1223X0400X

NPI Details
NPI 1720121718
Gender Male
Enumeration Date 02/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
900 SPIVEY RD
WHITEVILLE NC, 28472, US
Phone (910) 642-4529
Fax (910) 642-4354
Business Location
PO BOX 965
900 SPIVEY RD
WHITEVILLE NC, 28472-0965, US
Phone (910) 642-4529
Fax (910) 642-4354
Toxanomy
Taxonomy Code 1223X0400X
License State North Carolina
License Number 4365
Remove 1720121718 NPI Number
 

According to our database, Samuel G Koonce JR. D.D.S. NPI is 1720121718, taxonomy code is 1223X0400X and license number is 4365, license state is located at North Carolina. Samuel G Koonce JR. D.D.S. physically located at 900 Spivey Rd, Whiteville NC, 28472. NPI Number Samuel G Koonce JR. D.D.S. has the Individual type.

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1720121718 NPI number is provided on an as is basis without warranty of any kind. 1720121718 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel G Koonce JR. D.D.S. are for informational purposes only.