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1780767418
GLENN W FORTNER
GLEN ALLEN, VA
NPI
1780767418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: VA 0401007404)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
DR. GLENN W FORTNER D.D.S.
3950 SPRINGFIELD RD
GLEN ALLEN, VA 23060-4119
Phone number: 804-346-4600
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Mailing Address
DR. GLENN W FORTNER D.D.S.
3950 SPRINGFIELD RD
GLEN ALLEN, VA 23060-4119
Phone number: 804-346-4600
Copy
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