Individual
DR. DAVID GLENN MOLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
16202 64TH ST E, #105, SUMNER, WA 98390-3028
(253) 470-5020
(253) 470-5069
Mailing address
16202 64TH ST E, #105, SUMNER, WA 98390-3028
(253) 470-5020
(253) 470-5069
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE 00008983
WA
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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