Individual
SHIRA GLAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3525 PRYTANIA ST, SUITE 312, NEW ORLEANS, LA 70115-3500
(504) 895-1137
Mailing address
3525 PRYTANIA ST, SUITE 312, NEW ORLEANS, LA 70115-3500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6636
LA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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