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1841404100
GLENN MICHAEL MISONO
SACRAMENTO, CA
NPI
1841404100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 30953)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
Dr. GLENN MICHAEL MISONO DDS
4660 NATOMAS BLVD SUITE 140
SACRAMENTO, CA 95835-2224
Phone number: 916-419-0254
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Mailing Address
Dr. GLENN MICHAEL MISONO DDS
4660 NATOMAS BLVD SUITE 140
SACRAMENTO, CA 95658
Phone number: 916-419-0254
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