Individual
ADALBERTO BASTOS DE VASCONCELLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, PHD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 537-3939
Mailing address
108 NUTTREE LN, CHAPEL HILL, NC 27516-8087
(919) 808-6750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00147
NC
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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