Individual
DR. GLEN JOHN GRAFFEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
630 FIFTH AVE, SUITE 1862, NEW YORK, NY 10111
(212) 245-5158
(212) 757-6077
Mailing address
630 FIFTH AVE, SUITE 1862, NEW YORK, NY 10111
(212) 245-5158
(212) 757-6077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39316
NY
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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