| Glenn J. Marie, Dds, Pc | |
|
739 Woodrow Rd Staten Island NY 10312-2221 | |
| (718) 317-8524 | |
| (718) 984-6644 |
| Full Name | Glenn J. Marie, Dds, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 739 Woodrow Rd, Staten Island, New York |
| Authorized Official Name and Position | Glenn J. Marie (PRES.) |
| Authorized Official Contact | 7183178524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn J. Marie, Dds, Pc Po Box 4038 Middletown NJ 07748-4038 Ph: () - | Glenn J. Marie, Dds, Pc 739 Woodrow Rd Staten Island NY 10312-2221 Ph: (718) 317-8524 |
| NPI Number | 1760609275 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 11/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760609275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 040958 (New York) | Primary |
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