Organization
GLENWOOD PREMIER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WASSEF (OWNER)
(732) 264-4477
Entity
Organization
Contact information
Practice address
1 BETHANY RD, BUILDING 1 SUITE 2 BETHANY OFFICE COMPLEX, HAZLET, NJ 07730
(732) 264-4477
(732) 264-0697
Mailing address
9 FREEMONT LANE, HOLMDEL, NJ 07733
(732) 264-4477
(732) 264-0697
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D119435
NJ
Other
Enumeration date
11/27/2006
Last updated
09/26/2013
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