Organization
GLADE MODERN DENTISTRY AND ORTHODONTICS, PC
Active
Other names
Glade Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINMAY N DAVE DDS (OWNER DOCTOR)
(817) 358-2008
Entity
Organization
Contact information
Practice address
1301 W GLADE RD STE 110, EULESS, TX 76039-5419
(817) 358-2008
(817) 358-8901
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(714) 845-8803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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