Dr Glenn Losasso DDS

NPI #1912013129 in Indian Harbour Bch, Florida

Provider Information

NPI Number: 1912013129
Entity Type: Organization
Organization Name: Dr Glenn Losasso DDS
Primary Specialty: Dentist
Enumeration Date: Aug 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2020 HIGHWAY A1A
Address 2: SUITE 105
City: Indian Harbour Bch
State: Florida
ZIP Code: 32937
Phone: (321) 777-8225

Authorized Official

Name: DR. GLENN J LOSASSO, DDS
Title: OWNER
Phone: (321) 777-8225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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