Individual
MR. GLENN R. REGENYE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
619 AMBOY AVE, EDISON, NJ 08837-3553
(732) 738-6555
(732) 738-6565
Mailing address
619 AMBOY AVE, EDISON, NJ 08837-3553
(732) 738-6555
(732) 738-6565
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
NJ15148
NJ
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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