Glenwood Dental PC
NPI #1104974708 in Glendale Heights, Illinois
Provider Information
- NPI Number
- 1104974708
- Entity Type
- Organization
- Organization Name
- Glenwood Dental PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1155 N MAIN ST
- Address 2
- STE A
- City
- Glendale Heights
- State
- Illinois
- ZIP Code
- 60139-3508
- Phone
- (630) 545-1116
Authorized Official
- Name
- DR. SUBBASHINI MARIMUTHU, D.M.D
- Title
- PRESIDENT
- Phone
- (630) 545-1116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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