NPI | 1134249576 |
---|---|
Doing Business As | GLENDALE DENTAL GROUP P.C. |
Entity Type | Organization |
Authorized Contact | LAURIE SUMMERS Credentialing 303-285-6098 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 3097) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-08-22 |