Individual
GLENN PRITCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 THOMAS JOHNSON DR, FREDERICK, MD 21702-4300
(301) 620-9090
Mailing address
68 THOMAS JOHNSON DR, FREDERICK, MD 21702-4300
(301) 620-9090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6983
MD
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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