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1265850721
GLENN R STANISLAUS
STATEN ISLAND, NY
NPI
1265850721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 0424921)
Enumeration Date
2014-04-02
Last Update Date
2014-04-02
Business Address
Dr. GLENN R STANISLAUS dmd
1003 RICHMOND AVE
STATEN ISLAND, NY 10314-1501
Phone number: 718-477-5588
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Mailing Address
Dr. GLENN R STANISLAUS dmd
1003 RICHMOND AVE
STATEN ISLAND, NY 10314-1501
Phone number: 718-477-5588
Copy
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