Individual
DR. SHARIAN D GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
123 45TH ST NE, DENTAL DEPT., WASHINGTON, DC 20019-4632
(202) 388-7735
Mailing address
5018 E CAPITOL ST NE, WASHINGTON, DC 20019-5326
(202) 388-7735
(202) 388-5202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12728
MD
1223G0001X
General Practice Dentistry
Primary
DEN1000568
DC
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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