Individual
MR. GLENN TAYLOR LESUEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1056 S. VAL VISTA DR., SUITE 1, MESA, AZ 85204
(480) 834-6991
(480) 654-8836
Mailing address
1056 S. VAL VISTA DR., SUITE 1, MESA, AZ 85204
(480) 834-6991
(480) 654-8836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009272
AZ
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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