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Individual

DR. JOHANNA M GLASNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
135 W 96TH ST, APT 7D, NEW YORK, NY 10025-6468
(240) 432-3351
Mailing address
585 W END AVE APT 6E, NEW YORK, NY 10024-1715
(240) 432-3351

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
060149-01
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/03/2017
Last updated
01/06/2022
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