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Individual

GLENN SASSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
304 FIRST STREET, DARIEN, GA 31305
(912) 437-6601
(912) 437-6666
Mailing address
PO BOX 950, DARIEN, GA 31305-0950
(912) 437-6601
(912) 437-6666

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010710
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00384898B
GA
Enumeration date
08/18/2006
Last updated
07/08/2007
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