Provider Demographics
NPI:1699800391
Name:GLINA, YVETTE O (DDS)
Entity type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:O
Last Name:GLINA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:100 PLEASANT ST
Mailing Address - Street 2:UNIT 202
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-3365
Mailing Address - Country:US
Mailing Address - Phone:781-631-3400
Mailing Address - Fax:781-631-3464
Practice Address - Street 1:1 SHELDON RD
Practice Address - Street 2:62 HUMPHREY STREET ENTRANCE
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945-2024
Practice Address - Country:US
Practice Address - Phone:781-631-3400
Practice Address - Fax:781-631-3464
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2016-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA210311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice