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Individual

DR. GLENN L. TERRY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
356 CIELO GRANDE, ALAMOGORDO, NM 88310-7831
(505) 572-7302
(505) 572-3634
Mailing address
356 CIELO GRANDE, ALAMOGORDO, NM 88310-7831
(505) 572-7302

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4953
OK

Other

Enumeration date
03/30/2006
Last updated
07/08/2007
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