Individual
DR. CHRISTIAN MICHAEL GLACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7300 GIRARD AVE STE 206, LA JOLLA, CA 92037-5138
(858) 454-4114
Mailing address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-7525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
107363
CA
Other
Enumeration date
07/07/2021
Last updated
04/29/2024
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