Glenn Chester Prezkop D.M.D.

NPI 1063443018 - Dentist - 122300000X

NPI Details
NPI 1063443018
Gender Male
Enumeration Date 07/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1414 S MILLER ST STE B
SANTA MARIA CA, 93454-6962, US
Phone (805) 352-0225
Fax (805) 352-0227
Business Location
1414 S MILLER ST STE B
SANTA MARIA CA, 93454-6962, US
Phone (805) 352-0225
Fax (805) 352-0227
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 39924
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According to our database, Dr. Glenn Chester Prezkop D.M.D. NPI is 1063443018, taxonomy code is 122300000X and license number is 39924, license state is located at California. Glenn Chester Prezkop D.M.D. physically located at 1414 S Miller St Ste B, Santa Maria CA, 93454-6962. NPI Number Glenn Chester Prezkop D.M.D. has the Individual type.

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1063443018 NPI number is provided on an as is basis without warranty of any kind. 1063443018 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn Chester Prezkop D.M.D. are for informational purposes only.