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1033194956
GLEN JAY FALLO
MONTEREY, CA
NPI
1033194956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 6022)
Enumeration Date
2005-12-14
Last Update Date
2016-06-10
Business Address
Dr. GLEN JAY FALLO DMD
423 CORPORAL EVANS RD
MONTEREY, CA 93944-3403
Phone number: 831-242-5612
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Mailing Address
Dr. GLEN JAY FALLO DMD
423 CORPORAL EVANS RD
MONTEREY, CA 93944-3403
Phone number: 831-242-5612
Copy
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