| NPI | 1083374748 |
|---|---|
| Doing Business As | GLENSTONE DENTAL |
| Entity Type | Organization |
| Authorized Contact | HOLLIE PRICE Office Manager 225-767-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2021-12-22 |