| NPI | 1962271759 |
|---|---|
| Doing Business As | GLEAM DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KRISTAL GOOD Office Manager 318-742-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |