| John R Licking Dds Inc | |
|
877 W Fremont Ave C3 Sunnyvale CA 94087-2319 | |
| (408) 736-6255 | |
| (408) 736-6100 |
| Full Name | John R Licking Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 877 W Fremont Ave, Sunnyvale, California |
| Authorized Official Name and Position | John R Licking (PRES) |
| Authorized Official Contact | 4087366255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John R Licking Dds Inc 877 W Fremont Ave C3 Sunnyvale CA 94087-2319 Ph: (408) 736-6255 | John R Licking Dds Inc 877 W Fremont Ave C3 Sunnyvale CA 94087-2319 Ph: (408) 736-6255 |
| NPI Number | 1467533133 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467533133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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