| NPI | 1013379858 |
|---|---|
| Former Name | MICHELLE GLOWINSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO DEN.00204318) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI02714700) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-05-31 |