Individual
BRANDON NORMAN GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2854 W 4700 S, SUITE B, TAYLORSVILLE, UT 84129-2102
(801) 432-7773
(801) 679-1958
Mailing address
2854 W 4700 S, SUITE B, TAYLORSVILLE, UT 84129-2102
(801) 432-7773
(801) 679-1958
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10067031-9922
UT
1223E0200X
Endodontics
30.023962
OH
Other
Enumeration date
06/20/2013
Last updated
11/10/2016
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