Individual
GLYN ANTHONY FLEURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
830 METCALF STREET, SEDRO WOOLLEY, WA 98284
(360) 855-0351
(360) 855-9357
Mailing address
830 METCALF STREET, SEDRO WOOLLEY, WA 98284
(360) 855-0351
(360) 855-9357
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4339
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169600
DEPT LABOR & INDUSTRIES
WA
01
—
3106FL
REGENCE
WA
05
—
5373105
—
WA
01
—
759311
UNITED CONCORDIA
—
Enumeration date
01/02/2007
Last updated
07/08/2007
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