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Individual

DR. GLENN ALAN BOYLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
301 MARKET ST, FAIRMONT, WV 26554-4034
(304) 363-8530
Mailing address
301 MARKET ST, FAIRMONT, WV 26554-4034
(304) 363-8530

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
WV3008
WV

Other

Enumeration date
01/01/2007
Last updated
07/08/2007
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