| NPI | 1467190413 |
|---|---|
| Doing Business As | GLOW DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAYAM NOURMAND Owner 443-762-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |