# GLOSMAN DENTAL GROUP, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentalville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528287232
- **Authorized official:** MONIQUE R GLOSMAN DDS (CHIEF OF STAFF)
- **Authorized official phone:** (310) 480-2307

## Contact information

- **Practice address:** 9210 S. EASTERN AVE \#130,, LAS VEGAS, NV 89123-4834
- **Practice address phone:** (702) 492-6606
- **Practice address fax:** (702) 492-1580
- **Mailing address:** 833 W WHITTIER BLVD, MONTEBELLO, CA 90640-4735
- **Mailing address phone:** (323) 266-1000
- **Mailing address fax:** (323) 859-3198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3580 | NV | Yes |
| 1223G0001X | General Practice Dentistry | 3580 | NV | — |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 07/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002202150 | — | NV |