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Organization
JON ERIK GLENN DDS A PROFESSIONAL CORPORATION
Active
Organization
JON ERIK GLENN DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON GLENN (OWNER)
(949) 644-0071
Entity
Organization
Contact information
Practice address
400 NEWPORT CENTER DR., SUITE 607, NEWPORT BEACH, CA 92660-7625
(949) 644-0071
(949) 717-0685
Mailing address
400 NEWPORT CENTER DR STE 607, NEWPORT BEACH, CA 92660-7625
(949) 644-0071
(949) 717-0685
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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