| NPI | 1629366836 |
|---|---|
| Doing Business As | GLENEAGLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ROBERT DOWDLE Dentist 719-488-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-09-14 |