Individual
KENNETH JOEL GLASSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
184 OCEAN AVE, MASSAPEQUA, NY 11758
(516) 541-2012
(516) 541-2012
Mailing address
184 OCEAN AVE, MASSAPEQUA, NY 11758
(516) 541-2012
(516) 541-2012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
031024
NY
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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