Individual provider · NPI-1

Dr. Glen R. Abraham, D.D.S.

Dentist, General Practice · Spring, TX

NPI number1356562482
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1356562482
Entity type
Individual (NPI-1)
Name
Dr. Glen R. Abraham
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 2, 2007
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice18655TXYes

Practice location

4740 Spring Cypress Rd Ste E
Spring, TX 77379-3447

Phone 281-374-7100 · Fax 281-374-8425

Mailing address

4740 Spring Cypress Rd Ste E
Spring, TX 77379-3447

Phone 281-374-7100 · Fax 281-374-8425

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