DR. Roger Dale Glenn, D.D.S.
NPI #1053396010 in Fort Bliss, Texas
Provider Information
- NPI Number
- 1053396010
- Entity Type
- Individual
- Name
- DR. Roger Dale Glenn, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Dec 13, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 128 CHAFFEE RD.
- City
- Fort Bliss
- State
- Texas
- ZIP Code
- 79906-3811
- Phone
- (915) 568-5001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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