Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 107467 | NC |
NPI | 1053523928 |
---|---|
Provider Name | Dr. Julie Huh Mol |
First Address | Durham, NC 27713-6296 |
Second Address | Durham, NC 27713-6296 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 08/07/2007 |