| NPI | 1134081110 |
|---|---|
| Doing Business As | GLENDALE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DANIELLE KLUTTZ Owner 317-383-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2025-11-28 |
| Last Update Date | 2025-11-28 |