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1053396010
ROGER DALE GLENN
FORT BLISS, TX
NPI
1053396010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 17335)
Enumeration Date
2005-12-13
Last Update Date
2007-07-08
Business Address
Dr. ROGER DALE GLENN D.D.S.
128 CHAFFEE RD.
FORT BLISS, TX 79906-3811
Phone number: 915-568-5001
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Mailing Address
Dr. ROGER DALE GLENN D.D.S.
6040 OJO DE AGUA DR
EL PASO, TX 79912-7504
Phone number: 915-568-5001
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