| NPI | 1083735195 |
|---|---|
| Doing Business As | DR GLIDDENS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PHILLIP ARNOLD GLIDDEN President 208-263-8514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D1968) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |