Organization
GLENN D BALKINS DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN DEE BALKINS DMD (PRESIDENT)
(541) 754-4017
Entity
Organization
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
122300000X
Dentist
Primary
D6570
OR
Other
Enumeration date
09/25/2006
Last updated
01/16/2009
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