Individual
DR. JOHN CHARLES GLUECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3121 MISHAWAKA AVE, SOUTH BEND, IN 46615-2349
(574) 288-9411
Mailing address
3121 MISHAWAKA AVE, SOUTH BEND, IN 46615-2349
(574) 288-9411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
018390
IN
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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