Individual
DR. DAVID MITCHELL GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5301 COWHORN CREEK ROAD, TEXARKANA, TX 75503
(318) 861-6999
Mailing address
821 ONTARIO ST, SHREVEPORT, LA 71106-1118
(901) 833-1141
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
26442
TX
1223P0221X
Pediatric Dentistry
3732
AR
Other
Enumeration date
05/11/2009
Last updated
06/13/2011
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