Organization
GLOSMAN DENTAL GROUP, LTD
Active
Other names
Dentalville
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE R GLOSMAN DDS (CHIEF OF STAFF)
(310) 480-2307
Entity
Organization
Contact information
Practice address
9210 S. EASTERN AVE #130,, LAS VEGAS, NV 89123-4834
(702) 492-6606
(702) 492-1580
Mailing address
833 W WHITTIER BLVD, MONTEBELLO, CA 90640-4735
(323) 266-1000
(323) 859-3198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3580
NV
1223G0001X
General Practice Dentistry
3580
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002202150
—
NV
Enumeration date
04/24/2007
Last updated
07/29/2013
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