Dr Gerald T Licari, DDS | |
1032 4th Ave, Lake Odessa, MI 48849-1004 | |
(616) 374-8828 | |
Not Available |
Full Name | Dr Gerald T Licari |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 1032 4th Ave, Lake Odessa, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376630327 | NPI | - | NPPES |
11834 | Other | MI | BLUE CROSS BLUE SHEILD |
4057629 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901011834 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Gerald T Licari, DDS 1032 4th Ave, Lake Odessa, MI 48849-1004 Ph: (616) 374-8828 | Dr Gerald T Licari, DDS 1032 4th Ave, Lake Odessa, MI 48849-1004 Ph: (616) 374-8828 |
Aaron Blane Freeman, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 924 4th Ave, Lake Odessa, MI 48849 Phone: 616-374-8053 Fax: 616-374-0731 | |
Dr. Michael J Crete, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1032 4th Ave, Lake Odessa, MI 48849 Phone: 616-374-8828 Fax: 616-374-7934 |