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1699952259
GLENN A. TAKENAGA
MODESTO, CA
NPI
1699952259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 34907)
Enumeration Date
2008-01-25
Last Update Date
2008-01-25
Business Address
Dr. GLENN A. TAKENAGA DDS, BS
3801 PELANDALE AVE STE B9
MODESTO, CA 95356-8308
Phone number: 209-575-2400
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Mailing Address
Dr. GLENN A. TAKENAGA DDS, BS
3801 PELANDALE AVE STE B-P
MODESTO, CA 95356-8300
Phone number: 209-575-2400
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