| NPI | 1093437360 |
|---|---|
| Doing Business As | GLO DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | ANDREA J EMMERICH Owner/Dentist 262-875-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-14 |