Individual
DR. GLENN WAYNE LABINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2401 S WASHINGTON, SUITE C, GRAND FORKS, ND 58201-6747
(701) 775-0682
Mailing address
2401 S WASHINGTON, SUITE C, GRAND FORKS, ND 58201-6747
(701) 775-0682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1535
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40572
—
ND
Enumeration date
08/24/2006
Last updated
07/08/2007
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