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DAVID G GLAZER D.M.D.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1033249826
Individual Registrant: DAVID G GLAZER D.M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
300 CHURCH ST YALESVILLE, CT 06492-2253 US
Tel: 203-269-5557 Fax: --
Tel: 203-269-5557 Fax: --
Contact information for business:
11 STONEGATE CIR CHESHIRE, CT 06410-3461 US
Tel: 203-272-5923 Fax: --
Tel: 203-272-5923 Fax: --
Registration Information:
NPI: 1033249826
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CT | 005375 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 002053759 | CT | 05 |
