Organization
GLENWOOD DENTAL PC
Active
Other names
Glenwood Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBBASHINI MARIMUTHU D.M.D (PRESIDENT)
(630) 545-1116
Entity
Organization
Contact information
Practice address
1155 N MAIN ST, STE A, GLENDALE HEIGHTS, IL 60139-3508
(630) 545-1116
(630) 545-1117
Mailing address
1155 N MAIN ST, STE A, GLENDALE HEIGHTS, IL 60139-3508
(630) 545-1116
(630) 545-1117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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