| Doctor Name: | DR. GLENN ZELEZNICK |
| NPI Number: | 1538233606 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS |
| License Number: | DU35464 |
| Business Practice Address: | 927 Deep Valley Drive Suite 265 Rolling Hills Estates, CA - 90274 |
| Business Phone Number: | 3103775538 |
| Business Fax Number: | |
| Mailing Address: | 927 Deep Valley Drive, Suite 265 ROLLING HILLS ESTATES |
| State: | CA |
| Postal Code: | 90274 |
| Phone Number: | 3103775538 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DU35464 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |