Individual
GLENN TRAUTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1100 AIRPORT FWY, SUITE 105, BEDFORD, TX 76022-6667
(817) 267-3966
Mailing address
1530 BLUE FOREST DR, PROSPER, TX 75078-9382
(972) 347-9865
(972) 347-9865
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
20012
TX
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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