Individual
DR. GLENN JOSEPH MAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DMD
Contact information
Practice address
4224 HERITAGE TRACE PKWY, SUITE 304, KELLER, TX 76248-1378
(817) 741-2200
(817) 741-2216
Mailing address
2125 RIM ROCK DR, KELLER, TX 76248-5627
(817) 741-2200
(817) 741-2216
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22601
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22DI02030800
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3376
AR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
60
AR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
E3009
AR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
K8654
TX
Other
Enumeration date
03/22/2006
Last updated
07/26/2007
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