Individual
DR. GLEN WILLIAM MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6900 ALDEN DR, CHEYENNE, WY 82005-2945
(077) 731-8463
Mailing address
6900 ALDEN DR, CHEYENNE, WY 82005-2945
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2018020986
MO
1223G0001X
General Practice Dentistry
Primary
2018020986
MO
Other
Enumeration date
09/05/2018
Last updated
08/19/2024
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