Organization
FL SPECIALTY DENTAL SERVICES, PLLC
Active
Parent organization
FL SPECIALTY DENTAL SERVICES, PLLC
Other names
Timothy A. Glomb DMD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
FL SPECIALTY DENTAL SERVICES, PLLC
Authorized official
CHARLOTTE DASCH (DIREC OF CRED AND PROV REL)
(504) 638-0303
Entity
Organization
Contact information
Practice address
2808 ENTERPRISE RD, DEBARY, FL 32713-2753
(386) 668-7776
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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