| Laura B Glicksman Ms Dmd Pc | |
|
119 Chestnut Street Needham MA 02492-2515 | |
| (781) 449-3560 | |
| (781) 449-0116 |
| Full Name | Laura B Glicksman Ms Dmd Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 119 Chestnut Street, Needham, Massachusetts |
| Authorized Official Name and Position | Laura B Glicksman (ORTHODONTIST PRESIDENT) |
| Authorized Official Contact | 7814493560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura B Glicksman Ms Dmd Pc 119 Chestnut Street Needham MA 02492-2515 Ph: (781) 449-3560 | Laura B Glicksman Ms Dmd Pc 119 Chestnut Street Needham MA 02492-2515 Ph: (781) 449-3560 |
| NPI Number | 1336361930 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336361930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 19557 (Massachusetts) | Primary |
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