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Jennifer Laquay
Dental Clinic/Center in Southport, North Carolina
NPI 1265606958

Jennifer Laquay is a Dental Clinic/Center based in Southport, NC and is specialized in Dental. Jennifer Laquay practices in Southport, NC. The NPI Number for Jennifer Laquay is 1265606958 and holds a License No. 8320 (North Carolina).

The current practice location address for Jennifer Laquay is 4742 Long Beach Rd Se, Southport, NC and can be reached out via phone at 910-457-7167 and via fax at 910-457-9650.

Location: 4742 Long Beach Rd Se, Southport, NC, 28461-8721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265606958
Provider Name
Jennifer Laquay
Credential
Provider Entity Type
Organization
Address
4742 Long Beach Rd Se, Southport, NC, 28461-8721
Phone Number
910-457-7167
Fax Number
910-457-9650
Provider Enumeration Date
04/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4742 Long Beach Rd Se
City
Southport
State
North Carolina
Zip
28461-8721
Phone Number
910-457-7167
Fax Number
910-457-9650
person
Provider Business Mailing Address Details
Address
4742 Long Beach Rd Se
City
Southport
State
North Carolina
Zip
28461-8721
Phone Number
910-457-7167
Fax Number
910-457-9650
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
8320 (North Carolina)
Definition
Definition to come...
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