Individual
DR. GLENN N GORAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1439 BROAD ST, CLIFTON, NJ 07013-4221
(973) 778-7171
(973) 916-0696
Mailing address
1439 BROAD ST, CLIFTON, NJ 07013-4221
(973) 778-7171
(973) 916-0696
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DI13023
NJ
Other
Enumeration date
12/19/2005
Last updated
09/25/2007
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