GLEN MARTIN O'MALLEY

GREENFIELD, WI
NPI1205090537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  3802)
Enumeration Date2008-07-16
Last Update Date2008-07-16
Business Address
Mr. GLEN MARTIN O'MALLEY D.D.S., S.C.
8555 W FOREST HOME AVE
GREENFIELD, WI 53228-3408
Phone number: 414-425-4005
Mailing Address
Mr. GLEN MARTIN O'MALLEY D.D.S., S.C.
8555 W FOREST HOME AVE
GREENFIELD, WI 53228-3408
Phone number: 414-425-4005
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