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1154496289
GLENN CLIFFORD BLUM
MODESTO, CA
NPI
1154496289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 29713)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
-- GLENN CLIFFORD BLUM DDS
1308 CELESTE DR SUITE B
MODESTO, CA 95355-2402
Phone number: 209-576-2884
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Mailing Address
-- GLENN CLIFFORD BLUM DDS
1308 CELESTE DR SUITE B
MODESTO, CA 95355-2402
Phone number: 209-576-2884
Copy
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