| NPI | 1356988307 |
|---|---|
| Doing Business As | GLOW FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CARLOS M HUICOCHEA MARTINEZ Owner 972-298-2027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |