Malek & Knight, DDS PA Vii
Dentist, General Practice in Louisburg, NC. Organization (NPI-2).
NPI number1982125936
StatusActive
Last updated in NPPESJun 29, 2017
Details
- NPI
- 1982125936
- Entity type
- Organization (NPI-2)
- Legal business name
- Malek & Knight, DDS PA Vii
- Organization subpart
- No
- Enumeration date
- Jun 29, 2017
- Last updated
- Jun 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 07005 | NC | Yes |
Other names
- Axiom Dentistry Of Louisburg (Doing Business As)
Practice location
110 Shannon VlgLouisburg, NC 27549-2606
Phone 919-496-3388
Mailing address
Po Box 297Louisburg, NC 27549-0297
Phone 919-495-3388
Authorized official
Tiffany Nicole Reynolds
Regional Manager
9194957043
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