Individual
DR. MARK A GLIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
315 S MONROE AVE, GREEN BAY, WI 54301-4013
(920) 437-3376
(920) 437-8474
Mailing address
315 S MONROE AVE, GREEN BAY, WI 54301-4013
(920) 437-3376
(920) 437-8474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4379
WI
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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