Individual
DR. GLEN KREITZBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
353 VETERANS MEMORIAL HWY, SUITE 202, COMMACK, NY 11725-4200
(631) 543-5555
(631) 543-5556
Mailing address
353 VETERANS MEMORIAL HWY, SUITE 202, COMMACK, NY 11725-4200
(631) 543-5555
(631) 543-5556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036804
NY
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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