Organization
GLOW DENTAL AND ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHUL JOSHI DDS (MANAGER)
(480) 747-5129
Entity
Organization
Contact information
Practice address
2572 GUS THOMASSON RD, DALLAS, TX 75228-3017
(214) 699-5000
Mailing address
1150 EMPIRE CENTRAL PL STE 112, DALLAS, TX 75247-4312
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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