NPI | 1740973429 |
---|---|
Doing Business As | GLEN PERIO AND IMPLANT DENTISTRY |
Entity Type | Organization |
Authorized Contact | JEANETTE FRUHMAN Controller 516-312-4735 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2023-05-30 |
Last Update Date | 2023-05-30 |