Individual
DR. MICHAEL J GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMDMED
Contact information
Practice address
260 ROUTE 16B, CENTER OSSIPEE, NH 03814
(603) 539-4995
Mailing address
260 ROUTE 16B, CENTER OSSIPEE, NH 03814
(603) 539-4995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1334
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1334
LICENSE NUMBER
NH
Enumeration date
11/03/2006
Last updated
07/08/2007
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