| NPI | 1477636744 |
|---|---|
| Former Legal Business Name | GAYLE GLENN DDS MSD |
| Entity Type | Organization |
| Authorized Contact | GAYLE GLENN President 214-696-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 13336) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-04-09 |