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Individual

DR. HOWARD GLENN EAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
333 H ST, CHULA VISTA, CA 91910-5555
(619) 426-7582
(619) 781-9062
Mailing address
8896 HAMPE CT, SAN DIEGO, CA 92129-4457
(858) 538-4805

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
43943
CA

Other

Enumeration date
06/16/2005
Last updated
02/26/2013
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