Organization
GLOSMAN DENTAL GROUP, LTD
Active
Parent organization
GLOSMAN DENTAL GROUP, LTD
Other names
Dentalville
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLOSMAN DENTAL GROUP, LTD
Authorized official
MONIQUE R GLOSMAN DDS (CHEIF OF STAFF)
(310) 480-2307
Entity
Organization
Contact information
Practice address
9210 S EASTERN AVE, #130, LAS VEGAS, NV 89123-4834
(702) 835-1100
(702) 835-1101
Mailing address
833 W WHITTIER BLVD, MONTEBELLO, CA 90640-4735
(323) 266-1000
(323) 372-1662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3580
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100512443
—
NV
Enumeration date
11/14/2007
Last updated
06/07/2013
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