Individual
FRANCES JACQUELINE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
684 PASSAIC AVE, SUITE 100-C, NUTLEY, NJ 07110-1267
(973) 667-2400
(973) 667-3196
Mailing address
16 ERNEST ST., NUTLEY, NJ 07110
(973) 667-2400
(973) 667-3196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DIO15979
NJ
Other
Enumeration date
05/02/2007
Last updated
10/16/2008
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