Individual
DR. PAUL BERNARD GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2004 EDISON RD STE B, SOUTH BEND, IN 46617-1712
(574) 234-0900
(574) 234-7553
Mailing address
2004 EDISON RD STE B, SOUTH BEND, IN 46617-1712
(574) 234-0900
(574) 234-7553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009864A
IN
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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