Roger Dale Glenn D.D.S.

NPI 1053396010 - Dentist - 1223G0001X

NPI Details
NPI 1053396010
Gender Male
Enumeration Date 12/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
128 CHAFFEE RD.
FORT BLISS TX, 79906-3811, US
Phone (915) 568-5001
Fax (915) 568-5174
Business Location
6040 OJO DE AGUA DR
EL PASO TX, 79912-7504, US
Phone (915) 568-5001
Fax (915) 568-5174
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 17335
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According to our database, Dr. Roger Dale Glenn D.D.S. NPI is 1053396010, taxonomy code is 1223G0001X and license number is 17335, license state is located at Texas. Roger Dale Glenn D.D.S. physically located at 128 Chaffee Rd., Fort Bliss TX, 79906-3811. NPI Number Roger Dale Glenn D.D.S. has the Individual type.

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1053396010 NPI number is provided on an as is basis without warranty of any kind. 1053396010 is maintained by the National Plan & Provider Enumeration System. The contents of Roger Dale Glenn D.D.S. are for informational purposes only.