Individual
DR. GLEN EDWARD FODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13 GROVE AVENUE, WESTERLY, RI 02891
(401) 596-8929
Mailing address
13 GROVE AVENUE, WESTERLY, RI 02891
(401) 596-8929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2505
RI
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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