DR. Ronald Gerald Glass, D.D.S.

NPI #1407924301 in Mannford, Oklahoma

Provider Information

NPI Number: 1407924301
Entity Type: Individual
Name: DR. Ronald Gerald Glass, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Dec 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 152 COONROD AVENUE
City: Mannford
State: Oklahoma
ZIP Code: 74044
Phone: (918) 865-2247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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