Individual
JEREMY GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13731 E RICE PL STE 100, AURORA, CO 80015-1063
(720) 938-0708
Mailing address
906 N CORNWALL AVE, VENTNOR CITY, NJ 08406-1116
(609) 412-3613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00204578
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2020
Last updated
11/01/2023
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