Individual
DR. TIMOTHY RYAN GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1341 ABELIA WAY, VIRGINIA BEACH, VA 23454-5145
(757) 472-1342
Mailing address
1341 ABELIA WAY, VIRGINIA BEACH, VA 23454-5145
(757) 472-1342
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401412522
VA
Other
Enumeration date
07/01/2009
Last updated
05/02/2016
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