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Glenn Koehler, D.D.S
NPI 1336177633 · on the registry since 2006
Practice
- Address
- 192 Main St
Manchester, CT 06042 - Phone
- (860) 649-4655
- Fax
- (860) 646-3281
- Organisation at this address
- Pediatric Dental Assoc P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut