Organization
BEAR-GLASGOW DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T. MOORE (OFFICE MANAGER)
(302) 836-3750
Entity
Organization
Contact information
Practice address
1290 PEOPLES PLZ, NEWARK, DE 19702-5701
(302) 836-3750
Mailing address
1290 PEOPLES PLZ, NEWARK, DE 19702-5701
(302) 836-3750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001030831
—
DE
Enumeration date
10/04/2006
Last updated
08/22/2020
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