Glow Dental, Llc | |
7636 Belair Rd Nottingham MD 21236-4088 | |
(410) 663-1073 | |
(410) 663-1072 |
Full Name | Glow Dental, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 7636 Belair Rd, Nottingham, Maryland |
Authorized Official Name and Position | Payam Nourmand (OWNER) |
Authorized Official Contact | 4437621470 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Glow Dental, Llc 6510 Gardenwick Rd Baltimore MD 21209-2538 Ph: (443) 762-1470 | Glow Dental, Llc 7636 Belair Rd Nottingham MD 21236-4088 Ph: (410) 663-1073 |
NPI Number | 1467190413 |
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Provider Enumeration Date | 05/20/2022 |
Last Update Date | 05/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467190413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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