C. Fred Glazener, D.d.s., INC

NPI #1780753293 in Ingleside, Texas

Provider Information

NPI Number: 1780753293
Entity Type: Organization
Organization Name: C. Fred Glazener, D.d.s., INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 7, 2006
Last Updated: Jan 9, 2014

Practice Location

Address: 2681 STATE HIGHWAY 361
City: Ingleside
State: Texas
ZIP Code: 78362-4200
Phone: (361) 776-3535

Authorized Official

Name: DR. C FRED GLAZENER, DDS
Title: OWNER PRESIDENT
Phone: (361) 776-3535

Specialties & Taxonomy Codes

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

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