Glynwood Park Dental Care
NPI #1164796959 in Prattville, Alabama
Provider Information
- NPI Number
- 1164796959
- Entity Type
- Organization
- Organization Name
- Glynwood Park Dental Care
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 27, 2012
- Last Updated
- Feb 27, 2012
Practice Location
- Address
- 1831 GLYNWOOD DRIVE
- City
- Prattville
- State
- Alabama
- ZIP Code
- 36066
- Phone
- (334) 396-9001
Authorized Official
- Name
- MS. SUSAN M STEWART
- Title
- OFFICE MANAGER
- Phone
- (334) 281-2451
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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