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Glenn Mattlage, DDS
NPI 1184603243 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4415 66th St
Suite 112
Lubbock, TX 79414 - Phone
- (806) 797-1275
- Organisation at this address
- Lubbock Dental Implant Center Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Periodontics
1223P0300X
- Also registered as
- Periodontics
- Licence states on file
- NM, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas