Individual
DR. GLENN LAURENCE GITTELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3130 DENTON DR, MERRICK, NY 11566-5115
(516) 771-8777
(516) 771-8558
Mailing address
3130 DENTON DR, MERRICK, NY 11566-5115
(516) 771-8777
(516) 771-8558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037683
NY
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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