Organization
GLASER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER ALAN GLASER D.D.S. (OWNER)
(715) 359-4344
Entity
Organization
Contact information
Practice address
24 BROWN BLVD, ROTHSCHILD, WI 54474-1111
(715) 359-4344
(715) 359-7733
Mailing address
24 BROWN BLVD, ROTHSCHILD, WI 54474-1111
(715) 359-4344
(715) 359-7733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5071-015
WI
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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