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NPI Code Detail

MEDICARE: MARTIN N GLASER DMD PA

MEDICARE: MARTIN N GLASER DMD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1942390299
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTIN N GLASER DMD PA
Provider Business Mailing Address
First Line : 7409 MIAMI LAKES DR
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-6818
Country : US
Telephone Number : 305-557-0440
Fax Number : 305-557-0441
Provider Business Practice Location Address
First Line : 7409 MIAMI LAKES DR
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-6818
Country : US
Telephone Number : 305-557-0440
Fax Number : 305-557-0441
Authorized Official
Title or Position : PRES
Name : DR. MARTIN NEAL GLASER
Credential : DMD
Telephone Number : 305-557-0440
Provider Enumeration Date : 10/14/2006
Last Update Date : 08/22/2020

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Directions to “MARTIN N GLASER DMD PA ” Practice Location

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