Individual
DR. GLENN LEE DODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
95 WASHINGTON ST, CANTON, MA 02021-4006
(781) 575-0100
(781) 821-9964
Mailing address
95 WASHINGTON ST, CANTON, MA 02021-4006
(781) 575-0100
(781) 821-9964
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1871MA
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2060411
AETNA
MA
01
—
351969
HARVARD PILGRIM HEALTH
MA
01
—
44-00074
UNITED HEALTHCARE
MA
01
—
453635
TUFTS
MA
Enumeration date
09/25/2006
Last updated
09/24/2008
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