Organization
GREGORY L GLADE DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERNADETTE L GLADE (SECRETARY OF PC OFFICE MANAGER)
(309) 523-3325
Entity
Organization
Contact information
Practice address
308 11TH ST NORTH, PORT BYRON, IL 61275-9038
(309) 523-3325
(309) 523-9078
Mailing address
308 11TH ST NORTH, PORT BYRON, IL 61275-9038
(309) 523-3325
(309) 523-9078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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