Organization
GD AL GLYNWOOD PLLC
Active
Other names
Glynwood Park Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
1831 GLYNWOOD DR, PRATTVILLE, AL 36066-5584
(334) 356-9001
Mailing address
1831 GLYNWOOD DR, PRATTVILLE, AL 36066-5584
(334) 356-9001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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