Individual
DR. PAUL L GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
23264 TWO RIVERS RD, BASALT, CO 81621-9251
(970) 927-3776
Mailing address
3366 S TULARE CT, DENVER, CO 80231-4368
(303) 880-8649
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
105211
CO
Other
Enumeration date
03/08/2006
Last updated
11/19/2020
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