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1164572939
GLENN STEPHEN ROEDER
GLENDALE, CA
NPI
1164572939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CA 30624)
Enumeration Date
2007-01-11
Last Update Date
2009-04-01
Business Address
Dr. GLENN STEPHEN ROEDER d.d.s.
230 N MARYLAND AVE
GLENDALE, CA 91206-4261
Phone number: 310-739-5579
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Mailing Address
Dr. GLENN STEPHEN ROEDER d.d.s.
PO BOX 67827
LOS ANGELES, CA 90067-2806
Phone number: 310-739-5579
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