Individual provider · Type 1 NPI

Glenn A. Takenaga, DDS, BS

General Practice Dentistry · Modesto, CA

NPI number 1699952259 Active

About NPI 1699952259

Glenn A. Takenaga, DDS, BS's National Provider Identifier is 1699952259, issued on Jan 25, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Modesto, CA. The record was last updated on Jan 25, 2008.