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Individual

DR. GREGG C GLAMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
104 NORTH MAIN, NORTH BALTIMORE, OH 45872
(419) 247-3661
Mailing address
PO BOX 96, NORTH BALTIMORE, OH 45872
(419) 257-3661

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15436
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0418873
OH
Enumeration date
11/28/2006
Last updated
07/08/2007
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