Glen D Middaugh, DDS

NPI #1053316901 in Terre Haute, Indiana

Provider Information

NPI Number: 1053316901
Entity Type: Individual
Name: Glen D Middaugh, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 16, 2005
Last Updated: Nov 18, 2014

Practice Location

Address: 2801 ANTON ROAD
City: Terre Haute
State: Indiana
ZIP Code: 47803
Phone: (812) 877-6724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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