| Glosman Dental Group, Ltd | |
|
7101 W Craig Rd #102 Los Vegas NV 89129-6059 | |
| (702) 515-0955 | |
| (702) 515-0558 |
| Full Name | Glosman Dental Group, Ltd |
|---|---|
| Speciality | Dentist |
| Location | 7101 W Craig Rd, Los Vegas, Nevada |
| Authorized Official Name and Position | Monique R Glosman (CHIEF OF STAFF) |
| Authorized Official Contact | 3104802307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glosman Dental Group, Ltd 833 W Whittier Blvd Montebello CA 90640-4735 Ph: (323) 266-1000 | Glosman Dental Group, Ltd 7101 W Craig Rd #102 Los Vegas NV 89129-6059 Ph: (702) 515-0955 |
| NPI Number | 1790966133 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 06/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790966133 | NPI | - | NPPES |
| 100512442 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3850 (Nevada) | Secondary |
| 122300000X | Dentist | 3580 (Nevada) | Primary |