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Dr. Glen A. Tistaert, DDS
General Practice Dentistry in Santa Monica, California
NPI 1184841207

Glen A. Tistaert is a General Practice Dentistry based in Santa Monica, CA and is specialized in General Practice. Glen A. Tistaert practices in Santa Monica, CA and has the professional credentials of DDS. The NPI Number for Glen A. Tistaert is 1184841207 and holds a License No. 18421 (California).

The current practice location address for Glen A. Tistaert is 1333 7Th St, Santa Monica, CA and can be reached out via phone at 310-394-2661 and via fax at 310-450-9451.

Location: 1333 7Th St, Santa Monica, CA, 90405-3115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184841207
Provider Name
Glen A. Tistaert
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1333 7Th St, Santa Monica, CA, 90405-3115
Phone Number
310-394-2661
Fax Number
310-450-9451
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1333 7Th St
City
Santa Monica
State
California
Zip
90401-1607
Phone Number
310-394-2661
Fax Number
310-450-9451
person
Provider Business Mailing Address Details
Address
1333 7Th St
City
Santa Monica
State
California
Zip
90401-1607
Phone Number
310-394-2661
Fax Number
310-450-9451
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
18421 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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