Individual
DR. GLENN D RUOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17 NORTH 23RD ST, MT PENN, PA 19606
(610) 779-8394
(610) 779-8396
Mailing address
17 NORTH 23RD ST, MT PENN, PA 19606
(610) 779-8394
(610) 779-8396
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS015943
PA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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