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Organization

GLENN A. BOYLES, DDS, MS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLENN ALAN BOYLES D.D.S. (ORTHODONTIST)
(304) 363-8530
Entity
Organization

Contact information

Practice address
301 MARKET ST, FAIRMONT, WV 26554-4034
(304) 363-8530
(304) 363-8522
Mailing address
301 MARKET ST, FAIRMONT, WV 26554-4034
(304) 363-8530
(304) 363-8522

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
WV3008
WV

Other

Enumeration date
06/28/2007
Last updated
08/22/2020
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