NPI | 1427851252 |
---|---|
Doing Business As | GLENN SMILE CENTER |
Entity Type | Organization |
Authorized Contact | MOHAMMAD TAREQ KHADRA Dentist 401-225-2455 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2025-03-28 |
Last Update Date | 2025-03-28 |