Roeder, Glenn Stephen
Roeder, Glenn Stephen is an sole proprietor health care provider with primary practice located at 230 N Maryland Ave , Glendale CA 91206-4261. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Roeder, Glenn Stephen can be contacted via phone (310) 739-5579.Contact Information
Primary practice address
230 N Maryland Ave
Glendale CA 91206-4261
Phone: (310) 739-5579
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 30624 | California |
Profile Details
NPI number | 1164572939 |
---|---|
LBN Legal business name | Roeder, Glenn Stephen |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 11th, 2007 |
Last updated | Apr 1st, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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