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Individual

MR. CHRISTOPHER GLECOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
900 WATER ST, MEADVILLE, PA 16335-3428
(814) 333-6000
(814) 333-6001
Mailing address
209 N CENTER ST, CORRY, PA 16407-1626
(814) 664-2012
(814) 664-2017

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041931
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DS041931
STATE DENTAL BOARD
PA
Enumeration date
08/23/2018
Last updated
08/23/2018
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