Individual
DR. CRAIG ALLEN GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17547 VENTURA BLVD, SUITE 103, ENCINO, CA 91316-3853
(818) 990-8550
(818) 990-8551
Mailing address
17547 VENTURA BLVD, SUITE 103, ENCINO, CA 91316-3853
(818) 990-8550
(818) 990-8551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DX34704
CA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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