Organization
WALTER E GLENN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER E GLENN DDS (CORPORATE OFFICER)
(419) 522-2523
Entity
Organization
Contact information
Practice address
13 PARK AVE WEST SUITE 517, WALTER E GLENN DDS INC, MANSFIELD, OH 44902
(419) 522-2523
(419) 522-2523
Mailing address
13 PARK AVE WEST SUITE 517, WALTER E GLENN DDS INC, MANSFIELD, OH 44902
(419) 522-2523
(419) 522-2523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18506
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665034
—
OH
Enumeration date
05/15/2008
Last updated
05/15/2008
Update your record
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