Organization
STEPHEN E. GLICK, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ERIC GLICK DDS (PRESIDENT)
(804) 784-4150
Entity
Organization
Contact information
Practice address
1600 HOCKETT RD, MANAKIN SABOT, VA 23103-2229
(804) 784-4150
(804) 784-1232
Mailing address
1600 HOCKETT RD, MANAKIN SABOT, VA 23103-2229
(804) 784-4150
(804) 784-1232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410243
VA
Other
Enumeration date
08/24/2006
Last updated
07/29/2011
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