Susana C Junco, DMD
Dentist, General Practice in Indian Trail, NC. Individual provider (NPI-1).
NPI number1750574331
StatusActive
Last updated in NPPESAug 15, 2008
Details
- NPI
- 1750574331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susana C Junco
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2007
- Last updated
- Aug 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8465 | NC | Yes |
Practice location
136 Indian Trail RdIndian Trail, NC 28079
Phone 704-821-7222 · Fax 704-821-4310
Mailing address
Po Box 338Indian Trail, NC 28079
Phone 704-821-7222 · Fax 704-821-4510
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All 17 General Practice Dentistry providers in Indian Trail · All 529 providers in Indian Trail
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