Organization · Type 2 NPI
Jennifer Laquay
Dental Clinic/Center · Southport, NC
NPI number
1265606958
Active
Practice location
4742 Long Beach Rd SE
Southport, NC 28461-8721
Fax (910) 457-9650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 8320 (NC) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Southport
About NPI 1265606958
Jennifer Laquay's National Provider Identifier is 1265606958, issued on Apr 15, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Southport, NC. The record was last updated on Apr 15, 2008.