| NPI | 1306241138 |
|---|---|
| Doing Business As | GLEN DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY GILMOR President 847-486-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |