Organization
GRAMERCY PARK DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN HOLLOWAY DDS (DENTAL DIRECTOR)
(212) 889-0999
Entity
Organization
Contact information
Practice address
344 3RD AVE, NEW YORK, NY 10010-2331
(212) 889-0999
Mailing address
344 3RD AVE, NEW YORK, NY 10010-2331
(212) 889-0999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042637
NY
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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