Individual
DR. JUSTIN RYAN GLAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
930 N BROADWAY, MASSAPEQUA, NY 11758-2394
(516) 541-2400
(516) 308-3812
Mailing address
930 N BROADWAY, MASSAPEQUA, NY 11758-2394
(516) 541-2400
(516) 308-3812
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
053413
NY
Other
Enumeration date
09/10/2008
Last updated
04/24/2024
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