Individual
DR. GREGORY L GLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
308 11TH STREET NORTH, PORT BYRON, IL 61275-9038
(309) 523-3325
(309) 523-9078
Mailing address
308 11TH STREET NORTH, PORT BYRON, IL 61275-9038
(309) 523-3325
(309) 523-9078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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