Samuel G. Koonce, Jr., Dds, PA
NPI #1689842163 in Whiteville, North Carolina
Provider Information
- NPI Number
- 1689842163
- Entity Type
- Organization
- Organization Name
- Samuel G. Koonce, Jr., Dds, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 18, 2008
- Last Updated
- Feb 18, 2008
Practice Location
- Address
- 900 SPIVEY RD
- City
- Whiteville
- State
- North Carolina
- ZIP Code
- 28472-2915
- Phone
- (910) 642-4529
Authorized Official
- Name
- DR. SAMUEL GRADY KOONCE JR., DDS
- Title
- PRESIDENT
- Phone
- (910) 642-4529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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