| Glow Dental, Llc | |
|
405 Frederick Rd Ste 152 Baltimore MD 21228-4655 | |
| (410) 777-9134 | |
| Not Available |
| Full Name | Glow Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 405 Frederick Rd Ste 152, Baltimore, 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 |
|---|---|
| Glow Dental, Llc 6510 Gardenwick Rd Baltimore MD 21209-2538 Ph: (443) 762-1470 | Glow Dental, Llc 405 Frederick Rd Ste 152 Baltimore MD 21228-4655 Ph: (410) 777-9134 |
| NPI Number | 1255194601 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255194601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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