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Individual

DR. ADAM DAVID LIETZAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, DMD, MS

Contact information

Practice address
111 BRAUER HALL, UNC AT CHAPEL HILL SCHOOL OF DENTISTRY - DEPT OF PERIO, CHAPEL HILL, NC 27599-7450
(302) 381-5158
Mailing address
1424 SOUTHPOINT TRL, DURHAM, NC 27713-6757

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10709
NC
1223P0300X
Periodontics
Primary
10709
NC

Other

Enumeration date
06/30/2017
Last updated
05/02/2024
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