Organization
STEPHEN E GLICK DDS PC
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE, PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE, PLC
Authorized official
DR. STEPHEN E GLICK DDS (DENTIST/OWNER)
(804) 784-4150
Entity
Organization
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
—
—
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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