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Organization

GLENN R SWEARINGEN JR DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLENN RALPH SWEARINGEN DDS (PRESIDENT)
(740) 537-1731
Entity
Organization

Contact information

Practice address
210 N 3RD ST, TORONTO, OH 43964-1418
(740) 537-1731
(740) 537-1779
Mailing address
210 N 3RD ST, PO BOX 347, TORONTO, OH 43964-1418
(740) 537-1731
(740) 537-1779

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14479
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0277749
OH
Enumeration date
01/18/2008
Last updated
01/18/2008
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