Provider / Organization | NPI | Date Certified |
---|---|---|
GLENN GOLDFARB | 1841375482 | 2006-10-25 |
Glenn Goldfarb is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841375482. Registration indicates Glenn Goldfarb is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
Entity Type | Individual |
Provider Name | Dr. Glenn Goldfarb DDS |
Practice Office Address | 3377 LONG BEACH RD OCEANSIDE, NY US |
Practice Office Telephone | 5167660732 |
Practice Office Fax | 5166785067 |
Mailing Address | 3377 LONG BEACH RD OCEANSIDE, NY 115725063 US |
Business Telephone | 5167660732 |
Business Fax | 5166785067 |
Code | Practice | License No State |
---|---|---|
122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 043385
NY |