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ALEXANDRA G GLICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
521 N 11TH ST FL 3, RICHMOND, VA 23298-5016
(804) 628-6637
(804) 827-1040
Mailing address
8940 N KENDALL DR, SUITE 604E, MIAMI, FL 33176-2148
(305) 595-1905
(305) 595-2219

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401418136
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
058437
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN21084
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/05/2011
Last updated
12/01/2022
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