Organization
DR GLENN LOSASSO DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN J LOSASSO DDS (OWNER)
(321) 777-8225
Entity
Organization
Contact information
Practice address
2020 HIGHWAY A1A, SUITE 105, INDIAN HARBOUR BCH, FL 32937
(321) 777-8225
(321) 777-4121
Mailing address
2020 HIGHWAY A1A, SUITE 105, INDIAN HARBOUR BCH, FL 32937
(321) 777-8225
(321) 777-4121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10790
FL
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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