Provider First Line Business Practice Location Address:
228 BRAUER HALL MANNING DRIVE AND COLUMBIA ST
Provider Second Line Business Practice Location Address:
UNC SCHOOL OF DENTISTRY CAMPUS BOX 7450
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:
919-966-2743
Provider Business Practice Location Address Fax Number:
919-966-7992
Provider Enumeration Date:
09/29/2011