Individual
DR. KENNETH GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
680 GAIL GARDNER WAY, PRESCOTT, AZ 86305
(928) 445-9233
(928) 445-1758
Mailing address
680 GAIL GARDNER WAY, PRESCOTT, AZ 86305
(928) 445-9233
(928) 445-1758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6682
AZ
Other
Enumeration date
08/13/2007
Last updated
05/01/2023
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