Individual
DR. GLENN CARL DUBROC JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
145 ROBERT E LEE BLVD, SUITE 404, NEW ORLEANS, LA 70124-2552
(504) 283-8873
Mailing address
145 ROBERT E LEE BLVD, SUITE 404, NEW ORLEANS, LA 70124-2552
(504) 283-8873
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
LA4420
LA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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