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Organization

ANDREW R GLENN DDS MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE BORUCH (INSURANCE ADMINISTRATOR)
(402) 421-3401
Entity
Organization

Contact information

Practice address
3401 PLANTATION DR STE 100, LINCOLN, NE 68516-4712
(402) 421-3401
(402) 421-3411
Mailing address
3401 PLANTATION DR STE 100, LINCOLN, NE 68516-4712
(402) 421-3401
(402) 421-3411

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary

Other

Enumeration date
07/10/2020
Last updated
09/15/2021
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