Individual
DR. ZACHARY DAVID GLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1601 12TH AVE RD STE 103, NAMPA, ID 83686-6185
(208) 467-9690
Mailing address
1184 W COASTAL DR, MERIDIAN, ID 83642-5286
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5168
ID
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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