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Individual

GARY E MICHELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
800 WH SMITH BLVD, GREENVILLE, NC 27834-3763
(252) 752-1600
Mailing address
3901 KIPLING CT, GREENVILLE, NC 27834-7683
(252) 355-6359

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4795
NC

Other

Enumeration date
12/19/2006
Last updated
07/08/2007
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