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1033316260
GLENN A. FAMILANT
CHESAPEAKE, VA
NPI
1033316260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401411266)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
-- GLENN A. FAMILANT D.D.S.
1230 PROGRESSIVE DR SUITE 103
CHESAPEAKE, VA 23320-0203
Phone number: 757-962-0417
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Mailing Address
-- GLENN A. FAMILANT D.D.S.
3849 BUNCH WALNUTS ROAD
CHESAPEAKE, VA 23322
Phone number: 757-962-0417
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