Organization
GLICK DENTAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED S GLICK D.D.S., F.A.G.D (PRESIDENT)
(440) 349-1400
Entity
Organization
Contact information
Practice address
28200 MILES RD. UNIT C, SOLON, OH 44139
(440) 349-1400
(440) 349-0558
Mailing address
28200 MILES RD. UNIT C, SOLON, OH 44139
(440) 349-1400
(440) 349-0558
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30.017346
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831101435
GENERAL DENTISTRY
—
Enumeration date
04/20/2009
Last updated
06/12/2023
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