Lafayette Judkins Dds Pa

NPI 1275632366 - Dentist - 1223G0001X

NPI Details
NPI 1275632366
Enumeration Date 09/22/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LAFAYETTE LAFAYETTE
Position DENTIST
Phone (336) 342-0474
Fax (336) 342-7684
Practice Location
207 TURNER DR
REIDSVILLE NC, 27320-5726, US
Phone (336) 342-0474
Fax (336) 342-7684
Business Location
PO BOX 1110
REIDSVILLE NC, 27323-1110, US
Phone (336) 342-0474
Fax (336) 342-7684
Toxanomy
Taxonomy Code 1223G0001X
License State North Carolina
License Number 4781
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According to our database, Lafayette Judkins Dds Pa NPI is 1275632366, taxonomy code is 1223G0001X and license number is 4781, license state is located at North Carolina. Lafayette Judkins Dds Pa physically located at 207 Turner Dr, Reidsville NC, 27320-5726. NPI Number 1033115704 has the healthcare provider type.

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1275632366 NPI number is provided on an as is basis without warranty of any kind. 1275632366 is maintained by the National Plan & Provider Enumeration System. The contents of Lafayette Judkins Dds Pa are for informational purposes only.