Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 11046 | NC |
NPI | 1003261306 |
---|---|
Provider Name | Zhongfei Liang |
First Address | Apex, NC 27539-8834 |
Second Address | Dunn, NC 28334-7688 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2016 |
Last Update Date | 29/07/2020 |