Individual
DR. STEPHEN O GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5319 S LEWIS AVE, SUITE 222, TULSA, OK 74105-6500
(918) 748-8484
(918) 744-0761
Mailing address
5319 S LEWIS AVE, SUITE 222, TULSA, OK 74105-6500
(918) 748-8484
(918) 744-0761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3665
OK
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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