Dr. Glenn V Amante, DDS
Dentist in Rockford, IL. Individual provider (NPI-1).
NPI number1952467771
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1952467771
- Entity type
- Individual (NPI-1)
- Name
- Dr. Glenn V Amante
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019027157 | IL | Yes |
Practice location
5452 E State StRockford, IL 61108-2380
Phone 815-398-7777
Mailing address
1037 S Oakley BlvdGarden Apt
Chicago, IL 60612-4321
Phone 312-666-1849
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