| Glenn W. Labine | |
|
2401 S Washington St Suite C Grand Forks ND 58201-6747 | |
| (701) 775-0682 | |
| (701) 772-9697 |
| Full Name | Glenn W. Labine |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2401 S Washington St, Grand Forks, North Dakota |
| Authorized Official Name and Position | Terri Carlson (RECEPTIONIST) |
| Authorized Official Contact | 7017750682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn W. Labine 2401 S Washington St Suite C Grand Forks ND 58201-6747 Ph: (701) 775-0682 | Glenn W. Labine 2401 S Washington St Suite C Grand Forks ND 58201-6747 Ph: (701) 775-0682 |
| NPI Number | 1477848828 |
|---|---|
| Provider Enumeration Date | 06/14/2011 |
| Last Update Date | 06/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477848828 | NPI | - | NPPES |
| 40572 | Medicaid | ND | |
| 451220100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1535 (North Dakota) | Primary |
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