| Glenwood Dentistry | |
|
790 Glenwood Ave Se Suite 210 Atlanta GA 30316-2002 | |
| (404) 260-4767 | |
| (404) 609-2508 |
| Full Name | Glenwood Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 790 Glenwood Ave Se, Atlanta, Georgia |
| Authorized Official Name and Position | Yelena L Chuzhin (OWNER) |
| Authorized Official Contact | 4042604767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenwood Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Glenwood Dentistry 790 Glenwood Ave Se Suite 210 Atlanta GA 30316-2002 Ph: (404) 260-4767 |
| NPI Number | 1053769265 |
|---|---|
| Provider Enumeration Date | 05/27/2016 |
| Last Update Date | 02/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053769265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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