Provider First Line Business Practice Location Address:
401 BRAUER HALL
Provider Second Line Business Practice Location Address:
UNC DENTAL SCHOOL AEGD
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27599-7450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-537-3591
Provider Business Practice Location Address Fax Number:
919-537-3589
Provider Enumeration Date:
08/30/2016