Individual
DR. GLEN M. RAPOPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
345 N MAIN ST, SUITE 320, WEST HARTFORD, CT 06117-2515
(860) 523-4213
(860) 523-1106
Mailing address
345 N MAIN ST, SUITE 320, WEST HARTFORD, CT 06117-2515
(860) 523-4213
(860) 523-1106
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4572
CT
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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