DR. Randall Francis Glenn, D.M.D.

NPI #1821095712 in Meridian, Idaho

Provider Information

NPI Number: 1821095712
Entity Type: Individual
Name: DR. Randall Francis Glenn, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jul 7, 2005
Last Updated: Feb 10, 2025

Practice Location

Address: 3043 S MERIDIAN RD STE 100
City: Meridian
State: Idaho
ZIP Code: 83642-7936
Phone: (208) 884-0888

Specialties & Taxonomy Codes

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

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