Glosman Dental Group, Ltd

NPI #1164603502 in Las Vegas, Nevada

Provider Information

NPI Number: 1164603502
Entity Type: Organization
Organization Name: Glosman Dental Group, Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: GLOSMAN DENTAL GROUP, LTD
Primary Specialty: Dentist
Enumeration Date: Nov 14, 2007
Last Updated: Jun 7, 2013

Practice Location

Address: 5060 S FORT APACHE RD
Address 2: #160
City: Las Vegas
State: Nevada
ZIP Code: 89148-1731
Phone: (702) 851-8200

Authorized Official

Name: MONIQUE R GLOSMAN, DDS
Title: CHIEF OF STAFF
Phone: (310) 480-2307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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