ROGER DALE GLENN

FORT BLISS, TX
NPI1053396010
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: TX  17335)
Enumeration Date2005-12-13
Last Update Date2007-07-08
Business Address
DR. ROGER DALE GLENN D.D.S.
128 CHAFFEE RD.
FORT BLISS, TX 79906-3811
Phone number: 915-568-5001
Mailing Address
DR. ROGER DALE GLENN D.D.S.
6040 OJO DE AGUA DR
EL PASO, TX 79912-7504
Phone number: 915-568-5001