Individual
DR. GLENN E BLOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
300 S BEVERLY DR, SUITE 101, BEVERLY HILLS, CA 90212-4808
(310) 277-9700
(310) 553-1825
Mailing address
300 S BEVERLY DR, SUITE 101, BEVERLY HILLS, CA 90212-4808
(310) 277-9700
(310) 553-1825
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
39134
CA
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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