Glen Jay Fallo DMD

NPI 1033194956 - Dentist - 1223G0001X

NPI Details
NPI 1033194956
Gender Male
Enumeration Date 12/14/2005
Last Updated 06/10/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
423 CORPORAL EVANS RD
MONTEREY CA, 93944-3403, US
Phone (831) 242-5612
Fax (831) 242-5772
Business Location
423 CORPORAL EVANS RD
MONTEREY CA, 93944-3403, US
Phone (831) 242-5612
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Kentucky
License Number 6022
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According to our database, Dr. Glen Jay Fallo DMD NPI is 1033194956, taxonomy code is 1223G0001X and license number is 6022, license state is located at Kentucky. Glen Jay Fallo DMD physically located at 423 Corporal Evans Rd, Monterey CA, 93944-3403. NPI Number Glen Jay Fallo DMD has the Individual type.

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1033194956 NPI number is provided on an as is basis without warranty of any kind. 1033194956 is maintained by the National Plan & Provider Enumeration System. The contents of Glen Jay Fallo DMD are for informational purposes only.