Individual
DR. MICHAEL PAUL GLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800 E CLEVELAND, MONETT, MO 65708-1265
(417) 235-5155
(417) 236-0015
Mailing address
800 E CLEVELAND, MONETT, MO 65708-1265
(417) 235-5155
(417) 236-0015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015195
MO
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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