Individual
GLENN A NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6201 GREENBELT ROAD, SUITE M-1, COLLEGE PARK, MD 20740
(301) 345-7007
(301) 345-5288
Mailing address
14955 SHADY GROVE ROAD, SUITE 330, ROCKVILLE, MD 20850
(301) 340-0101
(301) 340-1989
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9161
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN5167
DC
Other
Enumeration date
10/18/2006
Last updated
09/26/2014
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