Individual
DR. GLENN DEE BALKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2222 NW LINCOLN AVE, CORVALLIS, OR 97330-2503
(541) 754-4017
(541) 758-3384
Mailing address
2222 NW LINCOLN AVE, CORVALLIS, OR 97330-2503
(541) 754-4017
(541) 758-3384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6570
OR
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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