Organization
YVETTE GLINA, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YVETTE GLINA DDS (OWNER)
(781) 631-3400
Entity
Organization
Contact information
Practice address
1 SHELDON RD, 62 HUMPHREY STREET ENTRANCE, MARBLEHEAD, MA 01945-2024
(781) 631-3400
(781) 631-3464
Mailing address
1 SHELDON RD, 62 HUMPHREY STREET ENTRANCE, MARBLEHEAD, MA 01945-2024
(781) 631-3400
(781) 631-3464
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21031
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X12622
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/01/2007
Last updated
12/01/2007
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