| Glen A Tueller Dds Inc | |
|
3311 Watt Ave Sacramento CA 95821 | |
| (916) 488-7900 | |
| (916) 488-7901 |
| Full Name | Glen A Tueller Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 3311 Watt Ave, Sacramento, California |
| Authorized Official Name and Position | Glen A Tueller (OWNER) |
| Authorized Official Contact | 9164887800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen A Tueller Dds Inc 3311 Watt Ave Sacramento CA 95821 Ph: (916) 488-7900 | Glen A Tueller Dds Inc 3311 Watt Ave Sacramento CA 95821 Ph: (916) 488-7900 |
| NPI Number | 1629176862 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629176862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23051 (California) | Primary |
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