Provider Demographics
NPI:1245390301
Name:GIAMO, GLENN DAVID (DOCTOR OF DENTAL SUR)
Entity Type:Individual
Prefix:DR
First Name:GLENN
Middle Name:DAVID
Last Name:GIAMO
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Gender:M
Credentials:DOCTOR OF DENTAL SUR
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Mailing Address - Street 1:935 TRANCAS STREET
Mailing Address - Street 2:GLENN D GIAMO DDS SUITE 5B
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558
Mailing Address - Country:US
Mailing Address - Phone:707-252-3600
Mailing Address - Fax:707-254-0128
Practice Address - Street 1:935 TRANCAS STREET
Practice Address - Street 2:GLENN D GIAMO DDS SUITE 5B
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558
Practice Address - Country:US
Practice Address - Phone:707-252-3600
Practice Address - Fax:707-254-0128
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CA391501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice