NPI 1023154580

Gary a Glaviano, DDS

Practitioner General Practice Dentistry Metairie, LA

Practice location

Address: 4400 Trenton Street Suite J, Metairie, LA 70006-6550
Phone: (504) 885-9599

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2714 (LA)

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Registry record

NPI: 1023154580
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.