Individual provider · Type 1 NPI

Ethan Michael Glickman, DDS

General Practice Dentistry · Highland Park, NJ

NPI number 1508057142 Active

About NPI 1508057142

Ethan Michael Glickman, DDS's National Provider Identifier is 1508057142, issued on Aug 8, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Highland Park, NJ. The record was last updated on Aug 8, 2007.