OrganizationGlosman Dental Group, Ltd(<Unavail>)DentistDental ProvidersPractice Address7101 W Craig Rd, #102, Los Vegas, NV 89129-6059(702) 515-0955(323) 266-1000PECOS EnrollmentBased on the most recent information from CMS, provider Glosman Dental Group, Ltd does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1790966133Provider TypeOrganizationFull NameGlosman Dental Group, LtdOther Name<Unavail>SubpartYesEnumeration Date11/14/2007Last Updated6/6/2013Contact InformationPractice LocationPractice Address7101 W Craig Rd, #102, Los Vegas, NV 89129-6059Phone(702) 515-0955Fax(702) 515-0558Mailing LocationMailing Address833 W Whittier Blvd, Montebello, CA 90640-4735Phone(323) 266-1000Fax(323) 372-1662Authorized OfficialNameGlosman, Monique R (Chief Of Staff)Phone(310) 480-2307Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense3580NevadaCode122300000XDescriptionDentistDental ProvidersLicense3850NevadaProvider IdentifiersIDDescriptionIssuerID100512442DescriptionMedicaidIssuerUnlistedNevada