Individual
DR. KIRT GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
102 E BISHOP WAY, BROWNSVILLE, OR 97327-2165
(541) 466-5171
Mailing address
102 E BISHOP WAY, BROWNSVILLE, OR 97327-2165
(541) 223-8781
(541) 466-5799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7624
OR
Other
Enumeration date
09/15/2005
Last updated
03/25/2019
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