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Individual

DOMINICK MICHAEL GLAVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3401 RALEIGH ROAD PKWY W STE 10C, WILSON, NC 27896-8222
(252) 653-4099
Mailing address
128 OXFORD DR, GOLDSBORO, NC 27534-8693

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
12720
NC
1223G0001X
General Practice Dentistry
Primary
12720
NC

Other

Enumeration date
06/01/2022
Last updated
01/19/2023
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