Individual
SHYLA K GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2030 LAKE AVE, PUEBLO, CO 81004-3536
(719) 564-4823
(719) 564-4858
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
(719) 543-0171
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905187
CO
Other
Enumeration date
09/07/2006
Last updated
07/21/2026
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