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General NPI Number Information
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NPI Number | 1942390299
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Entity Type | Organization
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Legal Business Name | MARTIN N GLASER DMD PA
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7409 MIAMI LAKES DR
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6818
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Country | US
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Telephone | 305-557-0440
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Fax | 305-557-0441
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Provider Business Mailing Address
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Address Line | 7409 MIAMI LAKES DR
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6818
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Country | US
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Telephone | 305-557-0440
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Fax | 305-557-0441
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Authorized Official
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Title or Position | PRES
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Name | DR. MARTIN NEAL GLASER
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Credential | DMD
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Telephone | 305-557-0440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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