Walter E Glenn Dds Inc | |
13 Park Ave West Suite 517 Walter E Glenn Dds Inc Mansfield OH 44902 | |
(419) 522-2523 | |
(419) 522-2523 |
Full Name | Walter E Glenn Dds Inc |
---|---|
Speciality | Dentist |
Location | 13 Park Ave West Suite 517, Mansfield, Ohio |
Authorized Official Name and Position | Walter E Glenn (CORPORATE OFFICER) |
Authorized Official Contact | 4195222523 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Walter E Glenn Dds Inc 13 Park Ave West Suite 517 Walter E Glenn Dds Inc Mansfield OH 44902 Ph: (419) 522-2523 | Walter E Glenn Dds Inc 13 Park Ave West Suite 517 Walter E Glenn Dds Inc Mansfield OH 44902 Ph: (419) 522-2523 |
NPI Number | 1518134824 |
---|---|
Provider Enumeration Date | 05/15/2008 |
Last Update Date | 05/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518134824 | NPI | - | NPPES |
0665034 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 18506 (Ohio) | Primary |
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