Organization
GLICKSMAN-GOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLY J. GOMES DMD (OWNER)
(508) 999-2234
Entity
Organization
Contact information
Practice address
49 STATE ROAD NAUSET BLDG., DARTMOUTH, MA 02747
(508) 999-2234
Mailing address
49 STATE ROAD NAUSET BLDG., DARTMOUTH, MA 02747
(508) 999-2234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21610
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110076658A
—
MA
Enumeration date
07/11/2014
Last updated
07/11/2014
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