Individual
DR. BENJAMIN H GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
US HIGHWAY 191 HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7156
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4281
NV
Other
Enumeration date
07/19/2006
Last updated
04/18/2019
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