RUSSELL EUGENE GLENN

GRAND PRAIRIE, TX
NPI1801904321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TX  16051)
Enumeration Date2006-08-25
Last Update Date2007-07-08
Business Address
Dr. RUSSELL EUGENE GLENN DDO
573 W PIONEER PKWY
GRAND PRAIRIE, TX 75051
Phone number: 972-642-5775
Mailing Address
Dr. RUSSELL EUGENE GLENN DDO
573 W PIONEER PKWY
GRAND PRAIRIE, TX 75051
Phone number: 972-642-5775