Organization
GLICK DENTAL ASSOCIATE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHA GLICK (PRESIDENT)
(973) 865-2446
Entity
Organization
Contact information
Practice address
4250 BROADWAY SUITE 5W, NEW YORK, NY 10033
(212) 795-0765
(212) 795-3600
Mailing address
4250 BROADWAY SUITE 5W, NEW YORK, NY 10033
(212) 795-0765
(212) 795-3600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0550291
NY
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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