Organization
GLENN H GLASS DMD MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN H GLASS (OWNER)
(251) 626-7770
Entity
Organization
Contact information
Practice address
1303 MAIN ST, DAPHNE, AL 36526-4422
(251) 626-7770
(251) 626-7464
Mailing address
PO BOX 2465, DAPHNE, AL 36526-2465
(251) 626-7770
(251) 626-7464
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5046
AL
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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