Organization
GLOW DENTAL, LLC
Active
Other names
Glow Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PAYAM NOURMAND (OWNER)
(443) 762-1470
Entity
Organization
Contact information
Practice address
7636 BELAIR RD, NOTTINGHAM, MD 21236-4088
(410) 663-1073
(410) 663-1072
Mailing address
6510 GARDENWICK RD, BALTIMORE, MD 21209-2538
(443) 762-1470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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