Individual
DR. GARY A GLAVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4400 TRENTON STREET, SUITE J, METAIRIE, LA 70006-6550
(504) 885-9599
Mailing address
4400 TRENTON STREET, SUITE J, METAIRIE, LA 70006-6550
(504) 885-9599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2714
LA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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