GLEN W HISEL

CLOVIS, NM
NPI1730242140
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  1748)
Enumeration Date2006-12-18
Last Update Date2007-07-08
Business Address
Dr. GLEN W HISEL D.D.S.
221 FAIRWAY TER N
CLOVIS, NM 88101-3064
Phone number: 505-762-3711
Mailing Address
Dr. GLEN W HISEL D.D.S.
221 FAIRWAY TER N
CLOVIS, NM 88101-3064
Phone number: 505-762-3711
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