DR. Glen Stuart Nomura, D.D.S.

NPI #1407041338 in Aberdeen, Washington

Provider Information

NPI Number: 1407041338
Entity Type: Individual
Name: DR. Glen Stuart Nomura, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 13, 2007
Last Updated: Sep 13, 2007

Practice Location

Address: 222 E 1ST ST
City: Aberdeen
State: Washington
ZIP Code: 98520-5218
Phone: (360) 533-0882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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