| NPI | 1821796210 |
|---|---|
| Doing Business As | GLEAM DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KRISHNA PATEL Owner 856-291-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |