Glenn Clifford Blum, DDS
NPI #1154496289 in Modesto, California
Provider Information
- NPI Number
- 1154496289
- Entity Type
- Individual
- Name
- Glenn Clifford Blum, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Nov 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1308 CELESTE DR
- Address 2
- SUITE B
- City
- Modesto
- State
- California
- ZIP Code
- 95355-2402
- Phone
- (209) 576-2884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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