| NPI | 1053769265 |
|---|---|
| Doing Business As | GLENWOOD DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | YELENA L CHUZHIN Owner 404-260-4767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2022-02-11 |