Organization
GLEN R. KREITZBERG D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN RICHARD KREITZBERG D.D.S. (PRESIDENT)
(631) 543-5555
Entity
Organization
Contact information
Practice address
353 VETERANS MEMORIAL HWY, SUITE 202, COMMACK, NY 11725-4200
(631) 543-5555
(631) 543-5556
Mailing address
353 VETERANS MEMORIAL HWY, SUITE 202, COMMACK, NY 11725-4233
(631) 543-5555
(631) 543-5556
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
036804
NY
Other
Enumeration date
12/21/2005
Last updated
07/10/2013
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