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Search › California › 1223G0001X

Kenneth Glenn, DDS

NPI 1649854878 · on the registry since 2021

Practice

Address
3750 Rohnerville Rd
Fortuna, CA 95540
Phone
(707) 725-6101
Organisation at this address
Open Door Community Health Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-14

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 California