Individual
DR. GLENN M GOVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6020 35TH AVE SW, SEATTLE, WA 98126-3002
(206) 461-6966
(206) 461-6968
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008456
WA
Other
Enumeration date
11/01/2006
Last updated
10/02/2020
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