Glade Dental Clinic

NPI #1841692522 in Glade Spring, Virginia

Provider Information

NPI Number: 1841692522
Entity Type: Organization
Organization Name: Glade Dental Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 24, 2014
Last Updated: Sep 24, 2014

Practice Location

Address: 634 S MONTE VISTA DR
City: Glade Spring
State: Virginia
ZIP Code: 24340-2712
Phone: (276) 429-5111

Authorized Official

Name: NICKIE ASHER
Title: OFFICE MANAGER
Phone: (276) 628-9507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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