Individual
DR. GLEN CRAIG BILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
7555 CENTER VIEW CT, SUITE 204, WEST JORDAN, UT 84084-1970
(801) 566-5681
Mailing address
7555 CENTER VIEW CT, SUITE 204, WEST JORDAN, UT 84084-1970
(801) 566-5681
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
55509
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6414895-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D-3835-OR
ID
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D7118
AZ
Other
Enumeration date
05/31/2007
Last updated
08/25/2009
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