Shelby Blade Glenn, DDS

NPI #1760166946 in Smithville, Missouri

Provider Information

NPI Number
1760166946
Entity Type
Individual
Name
Shelby Blade Glenn, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 9, 2023
Last Updated
Jun 12, 2023

Practice Location

Address
15700 N US HIGHWAY 169 STE C-2
ZIP Code
64089-9183
Phone
(816) 343-9100

Specialties & Taxonomy Codes

Specialty
Dentist

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