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Organization
STEPHEN E. GLICK, DDS, PC
Active
Organization
STEPHEN E. GLICK, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ERIC GLICK DDS (PRESIDENT)
(804) 784-4150
Entity
Organization
Contact information
Practice address
1600 HOCKETT RD, MANAKIN SABOT, VA 23103-2229
(804) 784-4150
(804) 784-1232
Mailing address
1600 HOCKETT RD, MANAKIN SABOT, VA 23103-2229
(804) 784-4150
(804) 784-1232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410243
VA
Other
Enumeration date
08/24/2006
Last updated
07/29/2011
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