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Organization

GLASGOW CHILDREN'S DENTAL CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MADISON MYERS GALLOWAY DMD, MSD (OWNER/PROVIDER)
(270) 590-3407
Entity
Organization

Contact information

Practice address
203 PROFESSIONAL PARK DR, GLASGOW, KY 42141-3486
(270) 629-5437
Mailing address
203 PROFESSIONAL PARK DR, GLASGOW, KY 42141-3486
(270) 629-5437

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9597
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100483120
KY
Enumeration date
04/18/2018
Last updated
06/16/2018
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