| NPI | 1326640236 |
|---|---|
| Doing Business As | GLOW DENTAL CO. |
| Entity Type | Organization |
| Authorized Contact | KELSI LEWIS Dds 409-771-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-15 |
| Last Update Date | 2020-11-16 |