Dr. Glen Theis DDS
Dentist in Brookfield, WI(View on Map)
Full Name
Dr. Glen Theis DDS
NPI Number
1851419238
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/26/2007
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
2339
Contact
Information
Purpose
Mailing
Location
Address
13905 W BURLEIGH RD
13905 W BURLEIGH RD
City
Brookfield
Brookfield
State
WI
WI
Postal Code
53005-3036
53005-3036
Country
US
US
Telephone Number
(262) 786-8440
(262) 786-8440
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007
Provider Address
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