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Individual
DR. GLENN STEPHEN ROEDER
Active
Individual
DR. GLENN STEPHEN ROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30624
CA
Other
Enumeration date
01/11/2007
Last updated
04/01/2009
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