Individual
GLENN J RESIDE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
UNC ORAL AND MAXILLOFACIAL SURGERY, 115 BRAUER HALL, CB# 7450, CHAPEL HILL, NC 27599-7450
(919) 843-2988
(919) 966-6019
Mailing address
521 HIGHGROVE DRIVE, CHAPEL HILL, NC 27516
(919) 913-8008
(919) 966-6019
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4678
NC
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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