DR. Glen Theis, DDS

NPI #1851419238 in Brookfield, Wisconsin

Provider Information

NPI Number: 1851419238
Entity Type: Individual
Name: DR. Glen Theis, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 13905 W BURLEIGH RD
City: Brookfield
State: Wisconsin
ZIP Code: 53005-3036
Phone: (262) 786-8440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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