Individual
DAVID G GLAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
300 CHURCH ST, YALESVILLE, CT 06492-2253
(203) 269-5557
Mailing address
11 STONEGATE CIR, CHESHIRE, CT 06410-3461
(203) 272-5923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
005375
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002053759
—
CT
Enumeration date
03/07/2007
Last updated
03/18/2015
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