Individual
DR. GLENN L PAULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDD, MS
Contact information
Practice address
430 N MILLS AVE, ORLANDO, FL 32803-5746
(407) 843-8180
(407) 843-8924
Mailing address
430 N MILLS AVE, ORLANDO, FL 32803-5746
(407) 843-8180
(407) 843-8924
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN11336
FL
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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