Organization
BGAW TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY GLASSMAN DDS (OWNER)
(908) 258-0341
Entity
Organization
Contact information
Practice address
206 MONTROSE AVE, SOUTH ORANGE, NJ 07079-2417
(973) 640-0732
Mailing address
206 MONTROSE AVE, SOUTH ORANGE, NJ 07079-2417
(973) 640-0732
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI018205
PA
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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