Individual
GLENN A GANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
76 HOWE AVE, SHELTON, CT 06484
(203) 924-4488
(203) 924-1658
Mailing address
PO BOX 587, 76 HOWE AVE, SHELTON, CT 06484
(203) 924-4488
(203) 924-1658
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5180
CT
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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