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GLENN R REIGROD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
308 E 79TH ST, SUITE 1C, NEW YORK, NY 10021-0906
(212) 744-3389
Mailing address
319 OLD COURTHOUSE RD., NEW HYDE PARK, NY 11040
(516) 869-8032

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037146
NY

Other

Enumeration date
01/13/2006
Last updated
07/08/2007
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