GLENN A. TAKENAGA

MODESTO, CA
NPI1699952259
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  34907)
Enumeration Date2008-01-25
Last Update Date2008-01-25
Business Address
Dr. GLENN A. TAKENAGA DDS, BS
3801 PELANDALE AVE STE B9
MODESTO, CA 95356-8308
Phone number: 209-575-2400
Mailing Address
Dr. GLENN A. TAKENAGA DDS, BS
3801 PELANDALE AVE STE B-P
MODESTO, CA 95356-8300
Phone number: 209-575-2400