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Organization

PAUL B. GLASS DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL BERNARD GLASS DDS (PRESIDENT/DENTIST)
(574) 234-0900
Entity
Organization

Contact information

Practice address
2004 EDISON RD STE B, SOUTH BEND, IN 46617-1712
(574) 234-0900
Mailing address
2004 EDISON RD STE B, SOUTH BEND, IN 46617-1712
(574) 234-0900

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009864A
IN

Other

Enumeration date
08/18/2006
Last updated
08/22/2020
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