Glow Dental Spa P.c.

NPI #1033587381 in Wayne, New Jersey

Provider Information

NPI Number: 1033587381
Entity Type: Organization
Organization Name: Glow Dental Spa P.c.
Primary Specialty: Dentist
Enumeration Date: Sep 3, 2015
Last Updated: Sep 3, 2015

Practice Location

Address: 506 HAMBURG TPKE
Address 2: SUITE 101
City: Wayne
State: New Jersey
ZIP Code: 07470-2068
Phone: (973) 942-6550

Authorized Official

Name: BEHSHAD AHKAMI, D.D.S.
Title: DOCTOR
Phone: (973) 942-6550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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