IndividualActive
Serge Glazunov, DDS
NPI 1134391659 · General Practice Dentistry · Vallejo, CA
Serge Glazunov, DDS is a General Practice Dentistry provider in Vallejo, CA (NPI 1134391659).
Provider details
- NPI number
- 1134391659
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23504 (CA)
Practice location
1620 Valle Vista Ave
Suite 150
Vallejo, CA 94589-2842
Phone: (707) 429-2929
Fax: (707) 429-2929
Street-level locationGet directions
Mailing address
41 Via La Brisa
Larkspur, CA 94939-1556
Registry dates
- Enumerated
- 2008-03-25
- Last updated
- 2008-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.