Jeffrey David Glen DDS

NPI 1659595528 - Dentist - 1223G0001X

NPI Details
NPI 1659595528
Gender Male
Enumeration Date 04/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5224 RIDGE AVE
PHILA PA, 19128-3712, US
Phone (215) 483-7174
Fax (215) 483-6039
Business Location
5224 RIDGE AVE
PHILA PA, 19128-3712, US
Phone (218) 483-7174
Fax (215) 483-6039
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS025753L
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According to our database, Dr. Jeffrey David Glen DDS NPI is 1659595528, taxonomy code is 1223G0001X and license number is DS025753L, license state is located at Pennsylvania. Jeffrey David Glen DDS physically located at 5224 Ridge Ave, Phila PA, 19128-3712. NPI Number Jeffrey David Glen DDS has the Individual type.

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1659595528 NPI number is provided on an as is basis without warranty of any kind. 1659595528 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey David Glen DDS are for informational purposes only.