Organization
SHORELINE CHILDRENS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN MARGARET GLAZER D.M.D. (MEMBER)
(860) 575-0594
Entity
Organization
Contact information
Practice address
934 BOSTON POST RD, SUITE 3-A, GUILFORD, CT 06437-2713
(860) 575-0594
(860) 349-1481
Mailing address
934 BOSTON POST RD, SUITE 3-A, GUILFORD, CT 06437-2713
(860) 575-0594
(860) 349-1481
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
009873
CT
Other
Enumeration date
06/19/2014
Last updated
08/11/2014
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