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Individual

DR. GLENN CANARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201
(410) 706-7970
(410) 706-4031
Mailing address
650 W BALTIMORE ST RM 2210, BALTIMORE, MD 21201-1510
(410) 706-7970
(410) 706-4031

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15526
MD
1223P0221X
Pediatric Dentistry
DEN03190
RI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
081066500
MD
Enumeration date
04/20/2011
Last updated
07/21/2022
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