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Individual

DR. ALBERT D GUCKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
101 BRAUER HALL CB # 7450, CHAPEL HILL, NC 27599-7450
(919) 966-1221
Mailing address
105 MUIR LN, CHAPEL HILL, NC 27514-1452

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0012
NC
1223P0700X
Prosthodontics
DS016007L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8993437
NC
Enumeration date
03/16/2007
Last updated
07/08/2007
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