Individual
DR. GLENN KEVIN ROCHLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
11206 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-2650
(718) 479-4100
Mailing address
6 TONI PL, PLAINVIEW, NY 11803-3041
(718) 479-4100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040418
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01285890
—
NY
Enumeration date
05/29/2007
Last updated
02/19/2016
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