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DAVID G GLAZER D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1033249826

Individual Registrant:
 DAVID G GLAZER D.M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
300 CHURCH ST  YALESVILLE, CT 06492-2253 US
Tel: 203-269-5557  Fax: --

Contact information for business:
11 STONEGATE CIR  CHESHIRE, CT 06410-3461 US
Tel: 203-272-5923  Fax: --

Registration Information:
NPI: 1033249826
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CT005375

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
002053759CT05




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