Organization
NATHAN A. GLASGOW DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN GLASGOW DDS (OWNER)
(585) 586-3990
Entity
Organization
Contact information
Practice address
40 GROVE ST STE 2B, PITTSFORD, NY 14534-1317
(585) 586-3990
(585) 586-3990
Mailing address
40 GROVE ST STE 2B, PITTSFORD, NY 14534-1317
(585) 586-3990
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
057369-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336586965
—
NY
Enumeration date
12/21/2017
Last updated
12/21/2017
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