Glenn D Balkins Dmd PC

NPI #1578663852 in Corvallis, Oregon

Provider Information

NPI Number: 1578663852
Entity Type: Organization
Organization Name: Glenn D Balkins Dmd PC
Primary Specialty: Dentist
Enumeration Date: Sep 25, 2006
Last Updated: Jan 16, 2009

Practice Location

Address: 2222 NW LINCOLN AVE
City: Corvallis
State: Oregon
ZIP Code: 97330-2503
Phone: (541) 754-4017

Authorized Official

Name: DR. GLENN DEE BALKINS, DMD
Title: PRESIDENT
Phone: (541) 754-4017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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