Organization
GLIMMER DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA LIU DMD (DENTIST)
(201) 406-3919
Entity
Organization
Contact information
Practice address
GLIMMER DENTAL, 119 MILLBURN AVENUE, MILLBURN, NJ 07041
(973) 376-5577
Mailing address
82 MAPLE ST, MILLBURN, NJ 07041-2114
(201) 406-3919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790182764
NEW JERSEY
NJ
Enumeration date
12/12/2023
Last updated
12/12/2023
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