# GLIMMER DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235907957
- **Authorized official:** DR. DIANA LIU DMD (DENTIST)
- **Authorized official phone:** (201) 406-3919

## Contact information

- **Practice address:** GLIMMER DENTAL, 119 MILLBURN AVENUE, MILLBURN, NJ 07041
- **Practice address phone:** (973) 376-5577
- **Mailing address:** 82 MAPLE ST, MILLBURN, NJ 07041-2114
- **Mailing address phone:** (201) 406-3919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2023
- **Last updated:** 12/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1790182764 | NEW JERSEY | NJ |