Organization
GLENWOOD DENTAL ASSOCIATION, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA M SHANE (BILLING/INSURANCE)
(302) 653-5011
Entity
Organization
Contact information
Practice address
17 WEST GLENWOOD AVENUE, SMYMA, DE 19977
(302) 653-5011
(302) 653-8839
Mailing address
17 WEST GLENWOOD AVENUE, SMYMA, DE 19977
(302) 653-5011
(302) 653-8839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
GI-0000761
DE
122300000X
Dentist
Primary
GI-0001103
DE
Other
Enumeration date
08/09/2006
Last updated
08/22/2020
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