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Walter E Glenn Dds Inc

Walter E Glenn Dds Inc is a health care provider in Mansfield, OH. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 13 Park Ave West Suite 517, Walter E Glenn Dds Inc, Mansfield, OH 44902, US
Practice Location Phone419-522-2523
Practice Location Fax419-522-2523
Legal Business NameWALTER E GLENN DDS INC
NPI ?1518134824
Entity TypeOrganization
Enumeration Date ? May 15, 2008
Last Update Date ? May 15, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Walter E Glenn Dds Inc

SpecialtySpecializationLicenseLicense State
Dentist 18506Ohio

legacy-id-icon Legacy Provider IDs of Walter E Glenn Dds Inc

Provider IdIssuer StateIssuer TypeIssuer
0665034OhioMedicaid

official-icon Authorized Official of Walter E Glenn Dds Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Walter E Glenn Dds Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Walter E Glenn (DDS)
Authorized Official Title/PositionCORPORATE OFFICER
Authorized Official Phone Number419-522-2523