MR. Glen Martin O'malley, D.D.S., S.C.
NPI #1205090537 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1205090537
- Entity Type
- Individual
- Name
- MR. Glen Martin O'malley, D.D.S., S.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S., S.C.
- Enumeration Date
- Jul 16, 2008
- Last Updated
- Jul 16, 2008
Practice Location
- Address
- 8555 W FOREST HOME AVE
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53228-3408
- Phone
- (414) 425-4005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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