Individual
DR. GLENN R JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9484 W LAKE MEAD BLVD STE 2, LAS VEGAS, NV 89134-8339
(702) 304-8338
(702) 304-0733
Mailing address
4782 HEARTSTONE CIR, LAS VEGAS, NV 89129-0403
(702) 493-6720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3072
NV
Other
Enumeration date
07/05/2006
Last updated
05/29/2020
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