Glenn A Brien, DDS Valid NPI

Individual provider · Dentist · Mendenhall, MS

NPI

1639249568

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

159874 (MS)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-08

Last updated

2007-07-08