Organization
GLENN FAMILY DENTISTRY, PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEWAYNE LEE GLENN DDS (OWNER/DENTIST)
(303) 779-2592
Entity
Organization
Contact information
Practice address
3600 S BEELER ST, SUITE 120, DENVER, CO 80237-1801
(303) 779-2592
(303) 779-2522
Mailing address
3600 S BEELER ST, SUITE 120, DENVER, CO 80237-1801
(303) 779-2592
(303) 779-2522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3462
CO
1223G0001X
General Practice Dentistry
9518
CO
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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