DR. Glen Jay Fallo, DMD
NPI #1033194956 in Monterey, California
Provider Information
- NPI Number
- 1033194956
- Entity Type
- Individual
- Name
- DR. Glen Jay Fallo, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Dec 14, 2005
- Last Updated
- Jun 10, 2016
Practice Location
- Address
- 423 CORPORAL EVANS RD
- City
- Monterey
- State
- California
- ZIP Code
- 93944-3403
- Phone
- (831) 242-5612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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