| NPI | 1295171536 |
|---|---|
| Doing Business As | GLADE MODERN DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHINMAY N DAVE Owner Doctor 817-358-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |