Organization
GLYNWOOD PARK DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN M STEWART (OFFICE MANAGER)
(334) 281-2451
Entity
Organization
Contact information
Practice address
1831 GLYNWOOD DRIVE, PRATTVILLE, AL 36066
(334) 396-9001
(334) 281-2451
Mailing address
3150 ZELDA CT, MONTGOMERY, AL 36106-2607
(334) 281-2451
(334) 281-1087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4029
AL
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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