Individual
DR. JASON GLAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16 MAIN ST, SUITE 303, DURHAM, CT 06422-2116
(860) 712-7839
Mailing address
16 MAIN ST, SUITE 303, DURHAM, CT 06422-2116
(860) 349-3368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30022306
OH
Other
Enumeration date
02/16/2007
Last updated
10/04/2018
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