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Organization

JASON R GLAZER DMD

Active
Other names
Glazer Dental Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON ROBERT GLAZER D.M.D. (DENTIST/OWNER)
(860) 349-3368
Entity
Organization

Contact information

Practice address
16 MAIN ST, SUITE #303, DURHAM, CT 06422-2116
(860) 349-3368
(860) 349-1481
Mailing address
16 MAIN ST, SUITE #303, DURHAM, CT 06422-2116
(860) 349-3368
(860) 349-1481

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
009354
CT
1223P0221X
Pediatric Dentistry
Primary
009873
CT

Other

Enumeration date
07/07/2009
Last updated
07/07/2009
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