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Individual
DR. GLENN WILLIAM FRITZ
Active
Individual
DR. GLENN WILLIAM FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401004845
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25239
OPTIMA
VA
01
—
260227
ANTHEM BCBS
VA
01
—
52237
SENTARA
VA
01
—
873455
UNITED CONCORDIA
VA
Enumeration date
09/05/2006
Last updated
07/08/2007
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