Individual
DR. GLENN ROBERT CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
LANDSTUHL DENTAL ACTIVITY CREDENTIALS OFFICE, CMR 402, APO AE, NY 09180
(367) 192-9130
Mailing address
LANDSTUHL DENTAL ACTIVITY CREDENTIALS OFFICE, CMR 402, APO AE, NY 09180
(367) 192-9130
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2315
SC
Other
Enumeration date
05/05/2006
Last updated
07/15/2016
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