Walter E Glenn DDS INC

NPI #1518134824 in Mansfield, Ohio

Provider Information

NPI Number: 1518134824
Entity Type: Organization
Organization Name: Walter E Glenn DDS INC
Primary Specialty: Dentist
Enumeration Date: May 15, 2008
Last Updated: May 15, 2008

Practice Location

Address: 13 PARK AVE WEST SUITE 517
Address 2: WALTER E GLENN DDS INC
City: Mansfield
State: Ohio
ZIP Code: 44902
Phone: (419) 522-2523

Authorized Official

Name: DR. WALTER E GLENN, DDS
Title: CORPORATE OFFICER
Phone: (419) 522-2523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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