Shantel Glick, PA-C

NPI 1841342631 · on the registry since 2007 · sole proprietor

Practice

Address: 21681 N 77th Ave
Peoria, AZ 85382
Phone: (623) 972-9200
Fax: (623) 972-9209
Organisation at this address: Aspen Rae Llc
Posh Dental Peoria Pllc
Desert Summit Dentistry, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona