Individual
DR. GAYLE GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3000 GASTON AVE, DALLAS, TX 75226
(214) 828-8179
(214) 696-4607
Mailing address
10625 STONE CANYON RD, DALLAS, TX 75230-4462
(214) 520-2481
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13,336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477636744
NPI
TX
Enumeration date
04/13/2015
Last updated
09/21/2023
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