Organization
GLENN J. MARIE, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN J. MARIE DDS (PRES.)
(718) 317-8524
Entity
Organization
Contact information
Practice address
739 WOODROW RD, STATEN ISLAND, NY 10312-2221
(718) 317-8524
(718) 984-6644
Mailing address
PO BOX 4038, MIDDLETOWN, NJ 07748-4038
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
040958
NY
Other
Enumeration date
04/19/2007
Last updated
11/13/2012
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