Individual
DR. GEOFFREY MICHAEL GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
16 PARK ST, MEDFIELD, MA 02052-2518
(508) 359-2576
Mailing address
395 CAPTAIN EAMES CIR, ASHLAND, MA 01721-3918
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19785
MA
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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