Individual
DR. ROBERT WALLACE GLINEBURG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1630 UNIVERSITY AVE W, SUITE 104, SAINT PAUL, MN 55104-3887
(651) 646-9474
Mailing address
1849 PINEHURST AVE, SAINT PAUL, MN 55116-1336
(651) 698-3937
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8257
MN
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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