Individual
DR. JOEL MICHEAL GLICKMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1251 S CEDAR CREST BLVD, STE 111C, ALLENTOWN, PA 18103-6205
(610) 432-1218
(610) 432-1219
Mailing address
1251 SOUTH CEDAR CREST BLVD., SUITE 111C, ALLENTOWN, PA 18103
(610) 432-1218
(610) 432-1219
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
#DS-019337-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#DS-019337-L
DENTAL LICENSE
PA
Enumeration date
05/27/2005
Last updated
07/08/2007
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