Individual
DR. THOMAS GLENN ISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010534A
IN
Other
Enumeration date
10/18/2005
Last updated
02/14/2023
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