| NPI | 1427147875 |
|---|---|
| Other Name | GLENWOOD VILLAGE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRIAN J KELLEHER President 919-782-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 1756) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |