Individual
GEOFFREY LOUIS GLOGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
506 N LINE ST, COLUMBIA CITY, IN 46725-1230
(260) 248-4242
(260) 248-4222
Mailing address
919 FLORENCE AVE, FORT WAYNE, IN 46808-2354
(260) 426-8805
(260) 424-1028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010658A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200523980
—
IN
Enumeration date
07/12/2006
Last updated
01/02/2020
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