Individual
DR. KENNETH A GLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 BERGEN ST, ROOM C-781, NEWARK, NJ 07103-2495
(973) 972-4214
(973) 972-3884
Mailing address
110 BERGEN ST, ROOM C-781, NEWARK, NJ 07103-2495
(973) 972-4214
(973) 972-3884
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI02379600
NJ
Other
Enumeration date
08/05/2008
Last updated
05/16/2016
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