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Individual

TAYLOR GLOVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID 83814-4968
(208) 667-9212
Mailing address
2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID 83814-4968

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2171679
ID

Other

Enumeration date
09/05/2025
Last updated
09/05/2025
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