MEDICARE: DR. GLENN L SALDANA DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	1873	PR

General Provider Information

NPI Number	:	1942211917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GLENN L SALDANA DMD

Provider Business Mailing Address
First Line	:	271 CALLE SIERRA MORENA
Second Line	:	MSC 271
City	:	SAN JUAN
State	:	PR
Zip	:	00926-5539
Country	:	US
Telephone Number	:	787-720-1684
Fax Number	:	787-708-5272

Provider Business Practice Location Address
First Line	:	SANTA ROSA AVE. #56
Second Line	:	SUITE #1
City	:	SAN JUAN
State	:	PR
Zip	:	00926-5539
Country	:	US
Telephone Number	:	787-720-1684
Fax Number	:	787-708-0272

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	07/08/2007

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