GLEN THEIS

BROOKFIELD, WI
NPI1851419238
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WI  2339)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
Dr. GLEN THEIS DDS
13905 W BURLEIGH RD
BROOKFIELD, WI 53005-3036
Phone number: 262-786-8440
Mailing Address
Dr. GLEN THEIS DDS
13905 W BURLEIGH RD
BROOKFIELD, WI 53005-3036
Phone number: 262-786-8440