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Individual

DR. SAM E GLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
28200 MILES RD UNIT C, SOLON, OH 44139-6915
(440) 349-1400
Mailing address
3314 HANCOCK AVE, CLEVELAND, OH 44113-3954
(440) 829-0064

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30025102
OH

Other

Enumeration date
06/07/2017
Last updated
06/07/2017
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