Individual
GLEN ROYDEN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
2552 F RD, GRAND JUNCTION, CO 81505-1422
(970) 241-1313
(970) 241-5202
Mailing address
2552 F RD, GRAND JUNCTION, CO 81505-1422
(970) 241-1313
(970) 241-5202
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
104423
CO
1223P0221X
Pediatric Dentistry
1356539922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02044238
—
CO
Enumeration date
12/19/2006
Last updated
03/07/2023
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