Individual
DR. TALYA GLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
110 BERGEN ST, PEDIATRIC DENTISTRY, NEWARK, NJ 07103-2495
(516) 655-1067
Mailing address
110 BERGEN ST, NEWARK, NJ 07103-2495
(516) 655-1067
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02410900
NJ
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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