Individual
DR. STEPHEN ERIC GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
401410243
VA
1223G0001X
General Practice Dentistry
DN15156
FL
Other
Enumeration date
07/25/2006
Last updated
07/29/2011
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