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Individual

GLENN ELLIOT MINSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
101 BRAUER HALL CB # 7450, CHAPEL HILL, NC 27599-7450
(919) 966-1221
Mailing address
144 TRADESCANT DR, CHAPEL HILL, NC 27517-8942

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5097
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
899003L
NC
Enumeration date
12/18/2006
Last updated
07/08/2007
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