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Walter Edward Glenn (DDS)

Mr. Walter Edward Glenn (DDS) is a health care provider specializes in Dentist.

profile-icon Basic Information

Practice Location 13 Park Avenue West, Suite 517, Mansfield, OH 44902, US
Practice Location Phone419-522-2523
Practice Location Fax419-522-2523
GenderMale
Specialty InDentist
NPI ?1093746679
Entity TypeIndividual
Enumeration Date ? Jul 5, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Walter Edward Glenn

SpecialtySpecializationLicenseLicense State
Dentist 18506Ohio

legacy-id-icon Legacy Provider IDs of Walter Edward Glenn

Provider IdIssuer StateIssuer TypeIssuer
0665034OhioMedicaid